SW6130301_CURRENT PERMIT_20171127

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW 6 G b 1
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE`%/���
YYYYMMDD

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
November 27, 2017
Waste Industries, LLC
Attn: Ted Habets, Manager
4621 Marracco Drive
Hope Mills, NC 28348
Subject: Stormwater Management Permit SW6130301
Waste Industries — Stedman, NC #2
High Density Commercial Wet Pond Project
Cumberland County
Dear Mr. Habets:
ROY COOPER
Gowmor .
MICHAEL S. REGAN
Secretary
TRACY DAVIS
Director
The Fayetteville Regional Office of the Division of Energy, Mineral and Land Resources received a State
Stormwater Permit Name/Ownership Change Form on November 15, 2017 to transfer Stormwater Management
Permit SW6130301, originally issued to Mr. Billy D. Horne on March 19, 2013 and revised on October 14, 2015
for the Front Street Lot 18 project. Therefore, we are forwarding herewith Stormwater Management Permit
SW6130301 dated November 27, 2017, for the continued operation and maintenance of the subject project and
associated stormwater control measures.
This permit shall be effective from the date of issuance until March 19, 2021 and shall be subject to the conditions
and limitations as specified therein. Please pay special attention to the Operation and Maintenance requirements
in this permit. Failure to establish an adequate system for operation and maintenance of the stormwater
management system will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you Kaye the right to -request
an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings (OAH). The written
petition must conform to Chapter 150B of the North Carolina General Statutes. Per NCGS 143-215(e), the petition
must be filed with OAH within thirty (30) days of receipt of this permit. You should contact the OAH with all
questions regarding the filing fee (if a filing fee is required) and/or the details of the fling process at 6714 Mail
Service Center, Raleigh, NC 27699-6714, or via telephone at 919-431-3000, or visit their website at
www.ncoah.com. Unless such demands are made, this permit shall be final and binding.
If you have any,questions or concerns, please contact Mike Lawyer or myself at [phone].
Sincerely,
imothy L.'LaB u PE
Regional Engineer
DEMLR
TL/ml
cc:. John Pfleger, Sr. EHS Specialist —Waste Industries, LLC
FRO — DEMLR, State Stormwater Files'
State of North Carolina I Environmental Quality I Energy, Mineral and Land Raowces
Fayetteville Regional Office 1225 Green Street, Suite 714 1 Fayetteville, NC 28301
910-433-3300

STATE.OF.NORTH-CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Waste Industries, LLC
Waste Industries — Stedman, NC #2
5290 Front Street, Stedman, Cumberland County
FOR THE
construction, operation and maintenance of.a wet detention pond in compliance with the provisions of
15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules') and the approved stormwater
management plans and specifications and other supporting data as attached and on file with and
approved by the Division of Energy, Mineral and Land Resources and considered apart of this permit.
This permit shall be effective from the date of issuance until March 19, 2021 and shall be subject to the
following specified conditions and limitations:.. .
I. DESIGN STANDARDS
1. This permit is effective only with respect to the nature and volume of stormwater described in
the application and other supporting' data.
2. This stormwater system has been approved for the management of stormwater runoff as
described in Section 1.7 of this permit. The stormwater control has been designed to handle the
runoff from 109,941 square feet of total built -upon area.
3. _ The tract will be limited to the amount of built -upon area indicated in Section 1.7 of this permit
and per approved plans.
4. All stormwater collection and treatment systems must be located in either dedicated common
areas or recorded easements. The final plats for the project will be recorded showing all such
required easements, in accordance with the approved plans.
5. The runoff from all built -upon area within the permitted drainage area of this project must be
directed into the permitted stormwater control system.
6. The built -upon areas associated with this project shall be located at least 30 feet landward of all
perennial and intermittent surface waters. '

7. The following design criteria have been provided in the wet detention pond and must be
maintained at design condition:
- -
a.
Drainage Area, acres:
3.29
Onsite, ft2:
124,582
Offsite, ft2:
18,730
b.
Total Impervious Surfaces, ft2:
109,941
Onsite, ft2:
91,211
Offsite, ft2:
18,730.
C.
Design Storm, inches:
1.0
d.
Avg. Pond Depth, feet:
4.0
e.
TSS removal efficiency:
90%
f.
Permanent Pool Elevation, FMSL:
112.50
g.
Permitted Surface Area at PP, ft2:
6,355
h.
Permitted Storage Volume, ft3:
16,805 at temporary pool
is
Temporary Storage Elevation, FMSL:
114.50
j.
Controlling Orifice:
1.5" 0 pipe
k.
Permanent Pool Volume, ft3:
17,523
I.
Permitted Forebay Volume, ft3:
3,869
M.
Receiving Stream/River Basin:
Sandy Creek / Cape Fear
n.
Stream Index Number:
18-68-12-6 ,
o.
Classification of Water Body:
"C;Sw"
II. SCHEDULE OF COMPLIANCE
The stormwater management system shall be constructed in its entirety, vegetated and
operational for its intended use prior to the construction of any built -upon surface.
2. During construction, erosion shall be kept to a minimum and any eroded areas of the system will
be repaired immediately.
The permittee shall, at all times, provide the operation and maintenance necessary to assure
the permitted stormwater system functions at optimum efficiency. The approved Operation and
Maintenance Plan must be followed in its entirety and maintenance must occur at the scheduled
intervals including but not limited to: - - -- _
a. Semi-annual scheduled inspections (every 6-months).-
b. Sediment removal.
C. Mowing and re -vegetation of slopes and the vegetated filter.
d. Immediate repair of eroded areas.
e. Maintenance of all slopes in accordance with approved plans and specifications.
f. Debris removal and unclogging of outlet structure, orifice device, flow spreader, catch
basins and piping.
g. Access to the outlet structure must be available at all times.
4. Records of maintenance activities must be kept and made available upon request to authorized
personnel of the Division of Energy, Mineral and Land Resources. The records will indicate the
date, activity, name of person performing the work and what actions were taken.
5. The stormwater treatment system shall be constructed in accordance with the approved plans
and specifications, the conditions of this permit, and with other supporting data.
6. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and prior to
operation of this permitted facility, a certification must be received from an appropriate designer
'for the system installed certifying that the permitted facility has been installed in accordance with
this permit, the approved plans and specifications, and other supporting documentation. Any
deviations from the approved plans and specifications must be noted on the Certification. A
modification may be required for those deviations.

7. If the stormwater system was used as an Erosion Control device, it must be restored to design
condition prior to operation as'a stormwater treatment device, and prior to occupancy of the
facility.
8. Access to the stormwater facilities shall be maintained via appropriate easements at all times.
9. The permittee shall submit to the Director and shall have received approval for revised plans,
specifications, and calculations prior to construction, for any modification to the approved plans,
including, but not limited to, those listed below:
a. Any revision to any item shown on the approved plans, including the stormwater
management measures, built -upon area, details, etc.
b. Project name change.
C. Transfer of ownership.
d. Redesign or addition to the approved amount of built -upon area or to the drainage area.
e.. Further subdivision, acquisition, lease or sale of all or part of the project area. The
project area is defined as all property owned by the permittee for which Sedimentation
and Erosion Control Plan approval or a CAMA Major permit was sought.
f. Filling in, altering, or piping of any vegetative conveyance shown on.the approved plan.
10. The permittee shall submit final site layout and grading plans for any permitted future areas
shown on the approved plans prior to construction.
11. A copy of the approved plans and specifications shall be maintained on file by the Permittee for
a minimum of ten years from the date of the completion of construction.
12. The Director may notify the permittee when the permitted site does not meet one or more of the
minimum requirements of the permit. Within the time frame specified.in the notice, the permittee
shall submit a written time schedule to the Director for modifying the site to meet minimum
requirements. The permittee shall provide copies of revised plans and certification in writing to
the Director that the changes have been made.
III. GENERAL CONDITIONS
1 :This permit is. not transferable except after notice to..and_appCovaL.bythe.Director., In the event of
a change of ownership or a name change, the permittee must submit a formal permit transfer
request to the Division of Energy, Mineral and Land Resources accompanied by a completed .
name/ownership change form, documentation from the parties involved, and other supporting
materials as may be appropriate. The approval of this request will be considered on its merits
and may or may not be approved. The permittee is responsible for compliance with all permit
conditions until such time as the Division approves the transfer request.
2. Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to enforcement action by the Division of Energy, Mineral and Land Resources in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
3. The issuance of this permit does not preclude the Permittee.from complying with any and all
statutes, rules, regulations, or ordinances, which may be imposed by other government
agencies (local, state, and federal) having jurisdiction.
4. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance
conditions, the Permittee shall take immediate corrective action, including those as may be
required by this Division, such as the construction of additional or replacement stormwater
management systems.
5. The permittee grants Division staff permission to enter the property during normal business
hours for the purpose of inspecting all components of the permitted stormwater management
facility.

6. The permit issued shall continue in force and effect until revoked or terminated. The permit may
be modified, revoked and reissued, or terminated for causer The filing of a request fora permit
modification, revocation and reissuance, or termination does not stay any permit condition.
7. Unless specified elsewhere, permanent seeding requirements for the stormwater control must
follow the guidelines established in the North Carolina Erosion and Sediment Control Planning
and Design Manual.
8. Approved plans and specifications for this project are incorporated by reference and are
enforceable parts of the permit. A copy of the approved plans and specifications shall be
maintained on file by the Permittee at all times.
9.. The issuance of this permit does not prohibit the Director from re -opening and modifying the
permit, revoking and re -issuing the permit, or terminating the permit as allowed by the laws,
rules and regulations contained in Session Law 2006-246, Title 15A NCAC 2H .1000, and
NCGS 143-215.1 et. al.
10. The permittee shall notify the Division.of any name, ownership, or mailing address changes at
least 30 days prior to making such changes.
11. The permittee shall submit a permit renewal application with all required forms and
documentation and processing fee at least 180 days prior to the expiration date of this permit.
Permit issued this the 27'" day of November 2017. .
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
forOrracy E. DdhWPE, CPM, Director
Division of Energy, Mineral and Land Resources
by Authority of the Environmental Management Commission
Stormwater Management Permit SW6130301

Lawyer, Mike
From:
Sent:
To:
Subject:
Attachments:
See attached.
thanks,
Scott Brown <[e-mail]>
Wednesday, October 05, 2016 12:19 PM
Lawyer, Mike; Randall, Mike
Front Street wet pond certification
Front Street certification.pdf
Scott Brown, PE Professional Engineer
office: 910-426-6777 ext 102 I cell: 910-489-6731 1 fax: [phone]
409 Chicago Drive, Suite 112, Fayetteville, NC 28306
On time, every time. I w ADsitesolutions.com
1

State Stormwater Permit
Permit No.SW6130301
Front Street Lot 18
Stormwater Permit No. SW6130301
Cumberland County
Designer's Certification
1, C. Scott Brown, PE , as a duly registered professional engineer
in the State of North Carolina, having been authorized to observe (Periodically/ weekly/
full time) the construction of the project,
Front Street Lot 18
(Project)
for Billy D. Horne (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
No wetland plants are installed at present time
2. The second orifice for the skimmer is still in box. Owner was notified to plug the 2nd orifice.
Signature
Registration Number 27452
Date October 5, 2016
`tH CARO',,
VL
027452
soo 0 `
OTT e�Oy)`
',, AC, a
Page 5 of 6

5
10,
State Stormwater Permit
Permit No.SW6130301
Certification Requirements:
X 1. The drainage area to the system contains approximately the permitted
acreage.
X 2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
X 3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
X 4. All roof drains are located such that the runoff is directed into the system.
X 5. The outlet/bypass structure elevations are per the approved plan.
X 6. The outlet structure is located per the approved plans.
X 7. Trash rack is provided on the outlet/bypass structure.
X 8. All slopes,are grassed with permanent vegetation.
X g. Vegetated slopes are no steeper than 3:1.
X 10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
X 11. The permitted amounts of surface area and/or volume have been
provided.
X 12. Required drawdown devices are correctly sized per the approved plans.
X 13. All required design depths are provided.
X 14. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
X 15. The required system dimensions are provided per the approved plans.
Please submit this Designer's Certification to: Fayetteville Regional Office
Surface Water Protection
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
Cc: Cumberland County Building
Inspections
Page 6 of 6

r:
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
2. Project Name:
nt Permit Number:
3. Current Permit Holder's Company Name/Organization: Al Hill Properties
4. Signing Official's Name: Billy D. Horne
5. Mailing Address
P.O. Box 325
Title: Contractor
City: Stedman State: NC Zip:
6. Phone: ( 910 ) 237-7890 Fax: ( )
28391
II. PROPOSED PERMITTEE / OWNER / PROJECT / ADDRESS INFORMATION
This request is for: (please check all that apply) P-@V i 3 2017
❑ Name change of the owner (Please complete Items 1, 2 and 3 below)), FAYETTEUILLEREGIOiJALOFP�CE
❑ 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: waste Industries LLC
2. Proposed permittee's signing official's name: Ted Habets
' 3. Proposed permittee's title: Manager
4. Mailing Address: 4621 Marracco Drive
City: Hope Mills
Phone: (910 ) 423
_ State: NC Zip: 28348
Fax:( 910) 423-4125
21
5. New Project Name to be placed on permit: .NC #Z
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
❑ 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,applicanj 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.
® Check here if current permittee is transferring the property to a new owner and will not retain
ownership of the permit.
I, silly D . Horne the current permittee, am submitting this application
for a transfer of ownership for permit # SW6130301 . 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 beapproved by the DWQ unless and until the facility is in compliance with the
permit. til / A� d
Signature:
-/7
a Notary Public for the State of
1Jor �r Cs mil'., County of �ncg; r1 do hereby certify that
v�C�� personally appeared befooe me this the
�tv 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 2 of 4
RED CCA.IUfiNSON
NOTARY PUBI.IC
Sampson County
Noah Carolina
My Commission Expires 01/04/2020

V. PROPOSED PERMITTEE CERTIFICATION: (This section must be completed by the
Proposed Permittee for all transfers of ownership)
1, Ted xabets , 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)
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 - cgcckcol,e!n <rk vvith NC prN2
yn the approved operation and maintenance agreement
®past 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 in i application package will be returned as incomplete.
Sig ature: dn'tt
Date:M , Wa ]4iiA a Notary Public for the State of
County of
do hereby certify that
personally appeared before me this the
�Yk day of ;LJU 20-f-L, and acknowledge the due execution of the
f going instrume�nnt.. Witness my hand and official seal,
/ - 1 Yl (Notary Seal)
Not ry Signature
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.
SSW N/O Change Rev24Sept2012 Page 3 of 4

V.1. PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION
If the Proposed Permittee listed in Sections If 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: _ Michael Durham
Organization
Waste Industries LLC
Title within the Organization:
Vice President
Street Address: 3301 Benson Drive Suite 601
City: Raleigh State: NC Zip
Mailing Address:
(if different from street address)
City: State: Zip:
Phone: _919-325-4000 ,. Fax:
Email: [e-mail]
919-325-3018
27609
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 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.
As4he 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 DWQ Stormwater permit. As the property owner,,it is my responsibility to notify
DW, - by submitting a completed Name/Ownership'Change Form within 30 days of procuring a
tl461oper, lessee or purchaser for the property_ I understand that failure to operate and maintain the
"stormwater treatment facility in accordance wilh'the,permit is.a violation of N&General Statute
7(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 a<IVeia . 3-215:6.
Signature of. the. properly. owner- ate:7/e l
I, LGIIZtn.�f a Notary Public for the State of
'jll&4V) l' f01 tni:, County of lXF tl a do hereby certify that
appeared before me this the
day of liil`i-S` 20_IL� and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
Wilpry Signature
rni�,�5cctpe'),GiL(Jffe-C`:'!I- IS- tL(
SSW N/O Change Rev24Sept2012 Page 4 of 4

' DWQ USE ONLY
Date Received
Fee Paid
Permit Number
Q
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters
❑ Other WQ M mt Plan:
- 2008 ❑ Ph II - Post Construction
❑ Universal Stormwater Management Plan
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
L GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
2. Location of Project (street address):
City:Sted ma n Cou nty:Cu mberla nd Zi p:28391
3. Directions to project (from nearest major intersection):
Turn right at the intersection of Clinton Road (Hwy 24) and Carol Street and go approximately 0.2 miles to the
intersection of Carol Street and Front Street. Turn left onto Front Street and go approximenely 900 feet, site is
4. Latitude:350 00' 29.05" N Longitude:78° 41' 12.92" W of the main entrance to the project.
II. PERMIT INFORMATION
1. a. Specify whether project is (check one): ®New []Modification ❑ Renewal w/ Modificationt
tRenewals with nmdifications also rewires SVVU-102 - Renewal Application Forni
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®I -nigh Density []Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on requi nn
lerhti�n�t
obtained by contacting the Customer Service Center at 1-877-623-6748): — -•----
^r;l'i
❑LAMA Major ❑Sedimentation/Erosion Control: 3.1 ac f D sgq�g� diATaY013
❑NPDES Industrial Stormwater ❑404/401 Permit: Proposed Impacts
M:.:
b.[f any of these permits have already been acquired please provide the Project N eet/Perm
issue date and the type of each permit: "
5. Is the project located within 5 miles of a public airport? ®No ❑Yes
If yes, see S.L. 2012-200, Part VI: httl2://12ortal.ncdenr.org/web/wq(ws/su/statesw/rules laws
Form SWU-101 Version 06Aug2012 Page I of 6

III. CONTACT INFORMATION
a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization:Billy Horne
Signing Official & Title:Owner
b.Contact information for person listed in item la above:
Street Address:P O Box 205
City:Fayetteville State:NC Zip:28302
Mailing Address (if applicable):
City: State.
Phone: (910 ) 237-7890 Fax:
Email:4kersh©nc.rr.com
c. Please check the appropriate box. The applicant listed above is:
❑ The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
® Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. (This is the
person who owns the property that the project is located on):
Property Owner/ Organ ization:Al Hill Properties, LLC
Signing Official & Title:Al Hill, Manager
b.Contact information for person listed in item 2a above:
Street Address:1498 Bland Howell Road
City:Kinston State:NC Zip:28504
Mailing Address (if applicable):PO Box 9
City:Deeo Run State:NC Zip:28525
Phone: ( _ ) Fax: ( )
3. a. (Optional) Print the name and title of another contact such as the projects construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:
Signing Official &
b.Contact information for person listed in item 3a above:
Mailing Address:
Phone: ( ) Fax: ( )
4. Local jurisdiction for building permits: Cumberland County
Point of Contact:Ken Sykes Phone #: (910 ) 321-6654
Form SWU-101 Version 06Aug2012 Page 2 of 6

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
The stormwater will sheet flow off the site and then be captured in a swale and routed into the forebay of the
pond and will be treated by a permanent wet pond.
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b.If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph 11 - Post Construction
3. Stormwater runoff from this project drains to the Cape Fear River basin.
4. Total Property Area: 5.2 acres
5. Total Coastal Wetlands Area: acres
6. Total Surface Water Area: acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area':5.2 acres
Total project area shall be calculated to exclude thefollowing: the ❑orunal pool of impounded strictures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW) lime. The resultant project area is used to
calculate overall percent built upon area (BLIA). Non -coastal wetlands landward of Flue NHW (or MHW) Iiae umy
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 40.3
9. How many drainage areas does the project have?l (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Basin Information
Draina e Areal
Draina e Area .
Draina e Area :
Drainage Area
Receiving Stream Name
Sandy Creek
Stream Class *
C,Sw
Stream Index Number *
18-68-12-6
Total Drainage Area (so
143,312
On -site Drainage Area (so
124,582
Off -site Drainage Area (so
18,730
Proposed Impervious Area** s
91,211
Impervious Area** total
76.7
Impervious** Surface Area
Draina e Area 7
Draina e Area _
Draina e Area _
Draina e Area _
On -site Buildings/Lots (so
On -site Streets (so
On -site Parking (so
91,211
On -site Sidewalks (so
Other on -site (so
Future (so
Off -site (so
18,730
Existing BUA*** (sf)
Total (so:
1 109,941
Stream Class and Index Number can be determined at: Irttp://portal.ucdenr.or oeb/wgf is csu/classifications
Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel wrens, etc.
FormSWU-101 Version06Aug2012 Page 3of6

Report only that amount of existing BUA that ivill remain after development. Do not report any existing BUA that
is to be removed and Which Will be replaced by new BUA.
11. How was the off -site impervious area listed above determined? Provide documentation. The area was
delineated based on current LIDAR data.
Projects in Union County: Contact DFVQ Central Office stafftn check if the project is located within a Threatened &
Endangered Species watershed that maY be subject to more stringent stormwater requirements as per 15A NCAC 02B .0600.
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from http://portal.ncdenr.org/web/wq/ws/su/bmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from http://portal.ncdenr.org/web/wq/ws/su/statesw/forms does. The complete
application package should be submitted to the appropriate DWQ Office. (The appropriate office may be
found by locating project on the interactive online map athttp://portal.ncdenr.org/web/wq/ws/su/­maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal.ncdennorg/web/wg/ws/su/statesw/forms dots.
mtials
1. Original and one copy of the Stormwater Management Permit Application Form. S13
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants ( 513
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
http://www.envhelp.org/pages/onestopexpress.litml for information on the Express program
and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/managementfor
the project. This is required in addition to the brief summary provided in the Project
Information, item 1.
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within rh mile of the site boundary, include the rh
mile radius on the map.
7. Sealed, signed and dated calculations (one copy).
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:
a. Development/Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with hearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
(1513
e 513
C 5)3
0313
r S13
0515
FormSWU-101 Version06Aug2012 Page 4of6

o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify 5r33
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"xll" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BMPs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DWQ to verify the SHWT prior
to submittal, [phone].) n
10. A copy of the most current property deed. Deed book: 8912 Page No: 529 l 5 l3
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC (513
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per 15A NCAC 2H.1003(e).
The corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
http:/ /www.secretary.state.nc.us/Corporations/CSearch.aWx
VIL DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form. The appropriate deed restrictions and
protective covenants forms can be downloaded from
httD://DortaLncdennore/web/wu/ws/su/statesw/forms dots. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ, and that they will be recorded prior to the sale of any lot.
VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer:Scott Brown, PE
Consulting Firm: 4D Site Solutions
Mailing Address 409 Chicago Drive, Suite 112
City:Favetteville State:NC Zip:28306
Phone: [phone] ext 102
EmaiLsbrowna4dsitesolutions.com
Fax: (910 ) 426-5777
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
1, (print or type name of person listed in Contact Information, item 2a) Al Hill , certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item la) Bilht Horne with (print or type name of organization listed in
Contact Information, itent 1 a) Billu Horne to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stonnwater system.
Form SWU-101 Version 06Aug2012 Page 5 of 6

As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DWQ Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signatu
Date: � r J-7
G49 ^ a Notary Public for the State of /VJr'{it Cgro1;Jet, County of
do hereby certify that *ukll-d A IfI personally appeared
before me this 6 day of E J'i,4c-/, and acknowledge the due cution of the application for
�7 n
a stormwater permit. Witness my hand a�fiwffi�ia{deal,
R. Bt;C
02
o�Aq�
��Dnexpires
nnn"``
X. APPLICANT'S CERTIFICATION
I, (print or type none of person listed in Contact Information, item 1m) Billy Horne
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will be recorded, and that the proposed project complies with the requirements of the
applicable stormwater rules under 15A NCAC 2I-1 .1000 and any other applicable state stormwater requirements.
Date: al. - 7-
I, a a Notary Public for the State of � iCounty of
n do hereby certify jF t-B( 1Ir� personally appeared
before me this day of ��, and acknowledge tl e due execution of the application for
a stormwater permit. Witness my my h�official seal, — L
Notary Public
Cumberland County
State of North Carolina
Commission Expires: 04-2;
SEAL
My commission expires
Form SW U-101 Version 06Aug2012 Page 6 of 6

Permit No. SW4/30?o/
(b be provided by DWD)
A
NCDENR
020E VIA 7F.q
r
STORMWATER MANAGEMENT PERMIT APPLICATION FORM o
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 ell of the required information.
I. PROJECT INFORMATION
Project name
Front Stnet Lot 18
Contact person
Billy Home
Phone number
[phone]
Date
1211412012
Drainage area number
1
II: DESIGN INFORMATION
Site Characteristics
Drainage area
143,312 ft2
Impervious area, post -development
109,941 ftr
%impervious
76.71 %
Design rainfall depth
1.0 in
Storage Volume: Non -SA Waters
Minimum volume required
Volume provided
Storage Volume: SA Waters
1.5" runoff volume
Pre -development 1-yr, 24-hr runoff
Post -development 1-yr, 24-hr runoff
Minimum volume required
Volume provided
Peak Flow Calculations
Is the prelpost control of the lyr 24hr storm peak flow required?
1-yr, 24-hr rainfall depth
Rational C, pre -development
Rational C, post -development
Rainfall intensity: 1-yr, 24-hr storm
Pra-development 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
Pre/Post 1-yr, 24-hr peak flow control
Elevations
Temporary pool elevation
Permanent pool elevation
SHWT elevation (approx. at the pen. pool elevation)
Top of 10ft vegetated shelf elevation
Bottom of 1Oft vegetated shelf elevation
Sediment cleanout, top elevation (bottom of pond)
Sediment cleanout, bottom elevation
Sediment storage provided
Is there additional volume stored above the state -required temp. pool?
Elevation of the top of the additional volume
8,873 ft'
it
If
it
it
it
Y (Y or N)
3.0 in
(y go S- — Pla-.f 4--t L C--S — P- k"0
OK, volume provided is equal to or in excess of volume required.
0.38 (unitless)
0.67 (unitless)
0.13 irdhr OK
0.16 ft'Isec
0.29 ft'Isec
0.13 ft'Isec
--i34.26-rmsl� wt..;-O
112.50 fmsl
112.20 fmsl
113.00 fmsl
112.00 fmsl
107.00 fmsl
105.50 fmsl
1.50 it
Y (Y or N)
027452
?r-A?LA«i -XT--7
Foos SW4e1-Wet Detention BesiMRev.94118112
Parts I. a II. Design Summary, Pape 1 of 2

r-
AO N
14
u

Permit No.
(to be provided by DWQ)
II!. DESIGNIINFORMATIOW
Surface Areas
Area, temporary pool 9,334 ft'
Area REQUIRED, permanent pool 5,231 It
SAIDA ratio 3.65 (unifless)
Area PROVIDED, permanent pool, Az,,,,, 6,355 tt` OK
Area, bottom of 10ft vegetated shelf, A._,, 3,510 ft`
Area, sediment cleanoul, lop elevation (bottom of pond), A.., 1,594 It,
Volumes
Volume, temporary pool
14,575 ft'
Volume, permanent pool, Vo,,
17,523 ft'
Volume, forebay (sum of forebays if more than one forebay)
3,869 ft'
Forebay %of permanent pool volume
22.1 % %
SAIDA Table Data
Design TSS removal
90 %
Coastal SAIDA Table Used?
N (Y or N)
Mountair/Piedmont SAIDA Table Used?
Y (Y or N)
SAIDA ratio
3.65 (unifless)
Average depth (used in SAIDA table):
Calculation option i used? (See Figure 10-2b)
N (Y or N)
Volume, permanent pool, V..P,
17,523 ft'
Area provided, permanent pool, Ap,,,,_pw
6,355 ft'
Average depth calculated
2.76 it
Average depth used in SAIDA, dw, (Round to nearest 0.5ft)
3.0 ft
Calculation option 2 used? (See Figure 10-2b)
Y (Y or N)
Area provided, permanent pool, A,,
6,355 ftz
Area, bottom of 10f vegetated shelf, Ab.mo,
3,510 ftz
Area, sediment cleanoul, top elevation (bottom of pond), Ab,,� 1,594 ftz
'Depth' (distance b/w bottom of 10ft shelf and top of sediment)
5.00 tt
Average depth calculated
4.02 It
Average depth used in SAIDA, d„, (Round to down to nearest 0.5ft)
4.0 ft
Drawdown Calculations
Drawdown through orifice?
Y (Y or N)
Diameter of of fce (if circular)
1.50 in
Area of orifice (if -non -circular)
in'
Coefficient of discharge (Co)
0.60 limitless)
Dnving head (Ho)
0.59 It
Drawdown through weir9
N (Y or N)
Weir type
(unitless)
Coefficient of discharge (C..)
(unifless)
Length of weir (L)
ft
Driving head (H)
If
Pre -development 1-yr, 24-hr peak flow
0.16 fts/sec
Post -development 1-yr, 24-hr peak flow
0.29 ft'/sec
Storage volume discharge rate (through discharge odfice or weir)
0.05 ft'/sec
Storage volume drawdown time
2.30 days
Additional Information
Vegetated side slopes
3 :1
Vegetated shelf slope
10 :1
Vegetated shelf width
10.0 it
Length of flowpath to width ratio
2 :1
Length to width ratio
1.6 :1
Trash mck for overflow & odfice?
Y
(Y or N)
Freeboard provided
1.0 ft
Vegetated filler provided?
N
(Y or N)
Recorded drainage easement provided?
Y
(Y or N)
Capures all runoff at ultimate build -out?
Y
(Y or N)
Drain mechanism for maintenance or emergencies is:
Pump out
[s13
Insufficient forebay volume.
Need 3 ft min.
OK
OK
OK
OK, draws down in 2-5 days.
OK
OK
OK
Insufficient flow path to width ratio. Must not short-circuit pond.
OK
OK
OK
OK
OK
OK
Form SMW-Wet Detention Basin-Rev.9.4/1e/12 Parts I, a 11. Design summary, Page 2 of 2

Permit
(to be provided by DWD)
IM, 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
nitials
5
Sheet No.
2.O
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.
l $l�
030
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.
n
i 5)3
C3' 0
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.
C 51�
r^f
`Z• 0
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.
l 58
ca(Cs
5. A table of elevations, areas, incremental volumes & accumulated volumes for overall pond and for forebay,
^
AA
to verify volume provided.
6. A construction sequence that shows how the wet detention basin will be protected from sediment until the
entire drainage area is stabilized.
A
y. The supporting calculations.
0513
8. A copy of the signed and notarized operation and maintenance (O&M) agreement.
C 5Z
v
g. A copy of the deed restrictions (if required).
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.
Form SW401-Wet Detention Basin-Rev.9-4/18/12 Part III. Required Items Checklist, Page 1 of 1

Permit Number: SW 6l 3 to 3 0 /
(lobe provided by DNQ)
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 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 Page 1 of 4

Permit Number: .5LVj3b301
(to be provided by D117Q)
Drainage Area Number: 1
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
revent future erosion problems.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The vegetated shelf
Best professional practices
Prune according to best professional
show that pruning is needed
practices
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The main treatment area
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design sediment
possible. Remove the sediment and
storage depth.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Algal growth covers over
Consult a professional to remove
50% of the area.
and control the algal growth.
Cattails, phragmites or other
Remove the plants by wiping them
invasive plants cover 50% of
with pesticide (do not spray).
the basin surface.
Form SW401-Wet Detention Basin O&M-Rev.4 Page 2 of 4

Permit Number: SW 6I 3 p 3 0
(to be provided by DWQ)
Drainage Area Number: I
BMP element:
Potentialproblem:
How I will remediate theproblem:
The embankment
Shrubs have started to grow
Remove shrubs immediately.
on the embankment.
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present.
consult a professional to remove
beavers.
A tree has started to grow on
Consult a dam safety specialist to
the embankment.
remove the tree.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. if applicable)
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the local NC Division of
damage have occurred at the
Water Quality Regional Office, or
outlet.
the 401 Oversight Unit at 919-733-
1786.
The measuring device used to determine the sediment elevation shall be such
that it will give an accurate depth reading and not readily penetrate into
accumulated sediments.
When the permanent pool depth reads 55:5 feet in the main pond, the sediment
shall be removed.
When the permanent pool depth reads 5.5 feet in the forebay, the sediment
shall be removed.
Sediment Removal
Bottom
107.00 1 1
-----------------
BASIN DIAGRAM
(611 in the blanks)
1-ft Min.
Sediment
Storage
Permanent Pool Elevation 112.5
Pool
\ Sediment Removal Elevation 107.00 Volumf
Bottom Elevation 105.50 1 1-ft
Storage
FOREBAY
MAIN POND
Form SW401-Wet Detention Basin O&M-Rev.4 Page 3 of 4

Permit Number: 5 W 6 13 O 30/
(to be provided by D1VQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. 1 agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible party.
Project name: Front Street Lot 18
BMP drainage area number:
Print name: /414 %% ��b►'�GJ L
L, 111-2T
2s'z — 14-2—?
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.
1, //6t6., R &--6s, , a Notary Public for the State of
NorCounty of Z,1oi4t. , do hereby certify that
86wotr-d A � d personally appeared before me this 6
day of Fehr-(Ac,e , Q9! 3 , and acknowledge the due execution of the
forgoing wet detention basin maintenance requirements. Witness my hand and official
seal,
q ()TARy
G v=
SIAL
My commission expires
Form SW401-Wet Detention Basin O&M-Rev.4 Page 4 of 4

State Stormwater Permit
Permit No.SW6130301
Front Street Lot 18
Stormwater Permit No. SW6130301
Cumberland County
Designer's Certification
1, C. Scott Brown, PE , as a duly registered professional engineer
In the.State of North Carolina, having been authorized to observe (periodically/ weekly!
full time) the construction of the project,
Front Street Lot 18
(Project)
for Billy D. Home (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specification:
No wetland plants are installed at present time
2. The second orifice for the skimmer is still, in box. Owner was notified to plug the 2nd orifice.
Signature l "0"u'—
Registration Number 27452
Date
October 5, 2016
Page 5 of 6
027452
A,
Ea:
S,"IlC 4,NE 0�;:
,,0rT Ba
„SLDA ')D o5•)L

State Stormwater Permit
Permit No.SW61.30301
Certification Requirements:
X 1. The drainage area to the system contains approximately the permitted
acreage.
X 2. The drainage area to the system contains no more than the permitted
amount of built -upon area.
X 3. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
X 4, All roof drains are located such that the runoff is directed into the system.
X 5. The outlet/bypass structure elevations are per the approved plan.
X 6. The outlet structure is located per the approved plans.
X 7. Trash rack is provided on the outlet/bypass structure.
X S. All slopes are grassed with permanent vegetation.
X 9. Vegetated slopes are no steeper than 3:1.
X 10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
X 11. The permitted amounts of surface area and/or volume have been
provided.
X 12. Required drawdown devices are correctly sized per the approved plans.
_X 13. All required design depths are provided.
X 14. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
X 15. The required system dimensions are provided per the approved plans.
Please submit this Designer's Certification to: Fayetteville Regional Office
Surface Water Protection
225 Green Street
Systel Building Suite 714
Fayetteville, NC 26301-5043
Cc: Cumberland County Building
Inspections
Page 6 of 6

Permit Number: SW 613 c> 3 o /
(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,
6 `'•
pretreatment including forebays and the vegetated filter if one is provided:
? EC;
This system (check one): 2Q1i
❑ does ® does not incorporate a vegetated filter at the outlet.�Ov t
This system (check one): pEO.rAVETT�WLEoOnJ�`OY"G`
❑ 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
lon
approximately six inches.
Form SW401-Wet Detention Basin O&M-Rev.4 Page 1 of 4

Permit Number: 5t4A3o30
(to be provided by DWQ)
Drainage Area Number: 1
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 spraying.
The vegetated shelf
Best professional practices
Pnine according to best professional
show that pruning is needed
practices
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants. Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Weeds are present.
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The main treatment area
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design sediment
possible. Remove the sediment and
storage depth.
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Algal growth covers over
Consult a professional to remove
50% of the area.
and control the algal growth.
Cattails, phragmites or other
Remove the plants by wiping them
invasive plants cover 50% of
with pesticide (do not spray).
the basin surface.
Form SW401-Wet Detention Basin O&M-RevA Page 2 of 4

Permit Number: SW b 13 0 3 0
(to be provided by DWQ)
Drainage Area Number: I
BMP element:
Potentialproblem:
How I will remediate theproblem:
The embankment
Shrubs have started to grow
Remove shrubs immediately.
on the embankment.
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present.
consult a professional to remove
beavers.
A tree has started to grow on
Consult a dam safety specialist to
the embankment.
remove the tree.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. if applicable)
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the local NC Division of
damage have occurred at the
Water Quality Regional Office, or
outlet.
the 401 Oversight Unit at 919-733-
1786.
The measuring device used to determine the sediment elevation shall be such
that it will give an accurate depth reading and not readily penetrate into
accumulated sediments.
When the permanent pool depth reads 5.5 feet in the main pond, the sediment
shall be removed.
When the permanent pool depth reads 5_5 feet in the forebay, the sediment
shall be removed.
Sediment Removal a. 107.00
-------------
Bottom Elevatio 106.00
FOREBAY
BASIN DIAGRAM
V1l in the blanks)
Permanent Pool Elevation 112:5
'et`manen Pool
/Volume Sediment Removal Elevation 107.00 Volum,
-ft Min.
---------- ------
Sediment Bottom Elevation 105.50 1-ft
Storage Sedime
Storage
MAIN POND
Form SW401-Wet Detention Basin O&M-Rev.4 Page 3 of 4

Permit Number: 5 V✓ 6 3 �/
(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:
BMP drainage area number:
Print name: ' Lf %jam ��', k t tz
Title: �/��/� IYr�Y!-�/>+C✓
Address: 19Dh �2 AiL, Zn-
r
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 VML'I R &';-611 , a Notary Public for the State of
WoA 6 o I i.t � , County of _ Z'e"' t- , do hereby certify that
f fnw + d A 0. a personally appeared before me this 6
day of ?Iehjr,,��?pi 2 , and acknowledge the due execution of the
forgoing wet detention basin maintenance requirements. Witness my hand and official
seal, d Aa
` \N
2 =.
�olARt-
O U=
s !� SEAL �a
OtR C0\n.
I,,,,'`
My commission expires �G"
Form SW401-Wet Detention Basin O&M-Rev.4 Page 4 of 4