SW6130402_CURRENT PERMIT_20130423

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

®ENR-FRO
APR 13100
MCDENR
DWO
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P.E.
John E. Skvarla, III
Governor Director
Secretary
April 18, 2013
Richard Bryant, President
Bryant Restaurants, Inc.
3105 Glenwood Avenue, Suite 103
Raleigh, North Carolina 27612
Subject: Stormwater Permit No. SW6130402
Wendy's Restaurant — Northgate Shopping Center
Spout Springs, Harnett County
Dear Mr. Bryant:
The Stormwater Permitting Unit received a complete Stormwater Management Permit Application for the subject
project on April 9, 2013. Staff review of the plans and specifications has determined that the project, as proposed,
will comply with the Stormwater Regulations set forth in Title 15A NCAC 2H.1000 and Session Law 2006-246. We
are forwarding Permit No. SW6130402, dated April 18, 2013, for the construction, operation and maintenance of the
subject project.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the conditions and
limitations as specified therein, and does not supersede any other agency permit that may be required. Please pay
special attention to the conditions listed in this permit regarding the Operation and Maintenance of the BMP(s),
recordation of deed restrictions, procedures for changes of ownership, transferring the permit, and renewing the
permit. Failure to establish an adequate system for operation and maintenance of the stormwater management system,
to record deed restrictions, to follow the procedures for transfer of the permit, or to renew the permit, will result in
future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an
adjudicatory, hearing 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 the 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 filing 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 please contact Mike Randall at [phone], or [e-mail].
Sincerely,
for Charles Wakild, P.E., Director
cc: SWI080302 File
D Ralph Huff, 111, Ralph Huff Holdings LLC
cc: Jeremy J. Beckett, P.E., Commercial Site Design
Fayetteville Regional Office
VVetlands and Stormwater Branch
1617'Aail Service Center, Raleigh North Carolina 27699-1617
Locaboa: 512 N. Salisbury St. Raleigh, Nodh Carolina 27601
Ahene:,919-807-6300� =AY- 919-801 6494
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State Stormwater Management System
Permit Number SW6130402
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
SERVED BY AN OFF -SITE STORMWATER CONTROL
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
Wendy's Restaurant— Northgate Shopping Center
Spout Springs, Harnett County
FOR THE
construction of impervious areas with runoff to be treated in an offsite permitted stormwater
facility, in compliance with the provisions of Title 15A NCAC 2H .1000 (hereafter referred to
as the "stormwater rules') and the approved stormwater management plans, application,
supplement, 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. The
stormwater runoff from the site will be routed to the permitted regional stormwater infiltration
basin, operated and maintained Tommy Bradford, Manager/Partner, Ralph Huff Holdings
LLC, Elmwood Holdings LLC under the terms and conditions set forth in the latest version of
Permit No. Permit No. SW6111206.
This permit shall be effective from the date of issuance until rescinded, and shall be subject
to the following specified conditions and limitations:
I. DESIGN STANDARDS
The runoff associated with this project has been approved to be discharged into a
stormwater management system permitted under the latest version of SW6111206.
3. All stormwater collection and treatment systems must be located in public rights -of -
way, dedicated common areas or recorded easements. The final plats for the project
will be recorded showing all such required rights -of -way, common areas and
easements, in accordance with the approved plans.
4. The runoff from the permitted built -upon area of this project must be directed into the
permitted stormwater system.
Page 1 of 3

State Stormwater Management System
Permit Number SW6130402
II. SCHEDULE OF COMPLIANCE
This permit is issued contingent on the construction of the permitted offsite stormwater
treatment facility being complete and in compliance with the conditions of permit
number SW6111206, issued to Tommy Bradford, Manager/Partner, Ralph Huff
Holdings LLC, Elmwood Holdings LLC on January 9, 2012, and as subsequently
revised, modified, or renewed. Prior to the construction of any built -upon area
associated with this permit, the offsite permittee shall have constructed, operated,
maintained, and certified the offsite stormwater management system in compliance
with SW6111206.
2. During construction, erosion shall be kept to a minimum and any eroded areas of the
system will be repaired immediately.
3. The permittee is responsible for keeping the stormwater collection system within the
lot property boundaries clear of trash, debris and sediment, and must control the
sediment on the lot in accordance with the requirements of the NC Erosion and
Sediment Control Design Manual. The following maintenance for the lot and its
stormwater collection system shall be performed as indicated:
a. Semiannual scheduled inspections (every 6 months).
b. Sediment and trash removal as necessary.
c. Vegetate the stormwater conveyance swales and the non -paved areas of the lot.
d. Immediate repair and stabilization of any eroded areas on the lot.
e. Repair or replacement of. swales, catch basins and piping as necessary to
capture the lot's runoff and maintain adequate drainage to the BMP.
4. 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 the approved plans, regardless of size.
b. Project name change.
C. Transfer of ownership.
d. Redesign of or addition to the maximum approved amount of built -upon area.
e. Further development, subdivision, acquisition or sale of any, all or part of the
project area covered by this permit.
f. Filling in, altering, piping, rerouting or resizing of any component of the approved
stormwater conveyance/collection system shown on the approved plan.
5. The Director may determine that other revisions to the project should require a
modification to the permit.
6. This lot is limited to the amount of built -upon area indicated in the supporting
calculations and per the approved plans. The project must have a built -upon area less
than or equal to the amount permitted under Stormwater Permit No. SW6111206.
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.
Page 2 of 3

State Stormwater Management System
Permit Number SW6130402
III. GENERAL CONDITIONS
This permit is not transferable to any person or entity except after notice to and
approval by the Director. At least 30 days prior to a change of ownership, or a name
change of the owner or of the project, or a mailing address change, a completed and
signed Name/Ownership Change form must be submitted to the Division of Water
Quality accompanied by the supporting documentation as listed on page 2 of the form.
The approval of this request will be considered on its merits and mayor may not be
approved.
2. The permittee is responsible for compliance with all terms and conditions of this permit
until such time as the Director approves the permit transfer. Neither the sale of the
project nor the conveyance of common area to a third party should be considered as
an approved transfer of the permit.
Failure to abide by the conditions and limitations contained in this permit may subject
the Permittee to enforcement action by the Division of Water Quality, in accordance
with North Carolina General Statute 143-215.6A to 143-215.6C.
4. This permit is effective only with respect to the nature and volume of stormwater
described in the application, supplement, and other supporting data. Any other
activities undertaken at this site prior to receipt of the necessary permits or approvals
to do so from any local, state or federal government agency having jurisdiction, are
considered violations of NCGS 143-215.1, and subject to the enforcement procedures
pursuant to NCGS 143-215.6.
The permittee grants permission for DENR Staff to enter the property for the purpose
of inspecting all components of the permitted stormwater management facility.
6. The permit may be modified, revoked and reissued or terminated for cause. The filing
of a request for a permit modification, revocation and reissuance or termination does
not stay any permit condition.
7. Approved plans, application, supplement forms, calculations and specifications for this
project are incorporated by reference and are enforceable parts of the permit.
8. A copy of the approved plans and specifications shall be maintained on file by the
Permittee at all times.
Permit issued this the 18th day of April, 2013.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Division of Water Quality
By Authority of the Environmental Management Commission
Page 3 of 3

State Stormwater Management System
Permit Number SW6130402
Designer's Certification
I, , as a duly registered in the State of
North Carolina, having been authorized to observe (periodically/ weekly/full time) the
construction of the project,
Wendy's Restaurant— Northgate Shopping Center
Spout Springs, Harnett County
for (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
Required Items to be checked for this certification to be considered complete are on page 2
of this form.
Noted deviations from approved plans and specifications:
SEAL
Signature
Registration Number
Date
Certification Requirements:
1. The lot contains no more than the maximum permitted amount of built -upon
area.
2. All the built -upon area associated with the project is graded such that the
runoff drains to the system.
3. The lot has been stabilized with permanent vegetation to prevent erosion.
4. Vegetated slopes are no steeper than 3:1.
5. Roof drains are located such that building runoff drains into the system.
6. The inlet from this project into the approved offsite BMP is located per the
approved plans and does not cause short-circuiting.
7. The stormwater collection system on the lot has not been altered from its
permitted condition.
cc: NCDENR-DWQ Regional Office

DWQ UsE bNLY
Date Received
Fee Paid
Permit Number
1 o
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ M mt Plan:
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
1. 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.):
Wendy's Restaurant - North atg e Shopping Center
2. Location of Project (street address):
Lot 1 - Northgate Shopping Center
City: Spout Springs County: Harnett Zip: 28326
3. Directions to project (from nearest major intersection):
Heading east on Highway 24/87 proceed to the intersection with Plantation Drive Turn right at
intersection and site is immediately on the right.
AIV
4. Latitude:35° "15' 26" N V Longitude:790 02' 22" W of the main entrance to the project.
IL PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modification)
tRenetuals with modifications also requires SWU-102 - Renewal Applicatica Form
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
per number , its issue date (if known) and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ❑High Density ®Drains to an Offsite Stormwater System []Other
3. If this application is being submitted as the result of a previously returned application or a letter from DWQ
requesting a state stormwater management permit application, list the stormwater project number, if
assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑CAMA Major ®Sedimentation/Erosion Control: _
❑NPDL'S Industrial Stormwater ❑404/401 Permit: Proposed Impacts
ac of Disturbed Area
b.lf any of these permits have already been acquired please provide the Project Name, Project/Permit Number,
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 Vl: littl2://12ortal.iicdetir.org/wel)/wq/ws/sLI/statesw/­I'LlIeS laws
Form SWU-101 Version 06Aug2012 Page I of

111.' CONTACT INFORMATION
I. 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: Bryant Restaurants Inc.
Signing Official & "Title: Richard Bryant, President
b.Contact information for person listed in item 1a above:
Street Address: 3105 Glenwood Avenue Suite 103
City:Raleigh State:NC Zip:27612
Mailing Address (ifapplicnble):
City: State: Zi
Phone: (919 ) 787-0036 Fax: ( )
Email: richard [e-mail]
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. (']'his is the
person who owns the property that the project is located on):
Property Owner/Organization: Ralph Huff Holdings LLC
Signing Official & Title: D. Ralph Huff, III
b.Contact information for person listed in item 2a above:
Street Address: 2919 Breezewood Avenue, Suite 400
City: Fayetteville State: NC Zip: 28303
Mailing Address (ifapplicable):
City:
Phone: (910 ) 486-4864
Email: ralphhuff©hhomes.com
hate: Zip:
Fax: (910 ) 485-0463
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:
Signing Official &
b.Contact information for person listed in item 3a above:
Mailing Address:
Zi
Phone: ( I Fax:
4. Local jurisdiction for building permits:
Point of Contact: Ken Slattum Phone #: (910 ) 893-7525 x3
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.
Slormwater runoff will be captured in pipes onsite and then conveyed through an existing pipe
network on the southeast side of the site that conveys water to the offsite infiltration basin located southeast
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 II - Post Construction
3. Stormwater runoff from this project drains to the Cape Fear River basin.
4. Total Property Area: 1.25 acres
5. Total Coastal Wetlands Area: 0.0 acres
6. Total Surface Water Area: 0.0 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) =Total Project
Area':1.25 acres
Total project area shall be calculated to exclude thefollowing: the nori nal pool of impounded structures, the area
between fire banks of streams mill rivers, the area below Hie Normal High Water (NHW) line or Mean High Water
(MHW) line, and coastal wetlands landzward frmu the NHW (or MHW) line. Tire resultant project area is used to
calculate over-all percent built upon area (BUA). Non -coastal zwctlands lmzdzvnrd of the NI-IW (or MHW) Iiue may
be included in the total project area.
S. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 70 $
9. I -low many drainage areas does the project have?] (For high density, count 1 for each proposed engineered
stornrwnter BMP. For 1071) 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
Diaina `e'Area,l .
Draina e''Area' .
Draina e^Area -
-Draina ,,e,Are'a
Receiving Stream Name
UT to Muddy Ck
Stream Class *
C
Stream Index Number *
18-23-26
Total Drainage Area (so
54,349
On -site Drainage Area (sf)
54,349
Off -site Drainage Area (so
0.0
Proposed Impervious Area** (so
34,568
% Impervious Area** total
64%
hn ervious'`Surface'Area ;,
Diaina e Area 1
iD'raina c Aea':
-
,Diaina e•Area
_ _
Drainage Area--
On -site Buildings/Lots (so
3,753
On -site Streets (so
0.0
On -site Parking (so
28,958
On -site Sidewalks (so
1,857
Other on -site (sf]
0.0
Future (so
19,882
Off -site (sf)
0.0
Existing 13UA*** (so
0.0
Total (so:
54,450
Stream Class and Index Number call be deteriniued at: Irttp://portal.ucdennorq roeb/wq(ps/csu/clnssif'eatious
" Impervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidewalks, gravel areas, etc.
Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which Will be replaced by new BUA.
Form SWU-101 Version 06Aug2012 Page 3 of

71, How was the off -site impervious area listed above determined? Provide documentation. Calculated with
Pro iects in Union County: Contact DIPQ Central Once stcffto check if the project is located within a Threatened &
Endangered Species watershed that may be subject to wore stringent stormirater requirements as per 15A NCAC 026.0600.
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 13MP 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 ham://portal.ncdennorg/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 at http://portal.ncdenr.org/web/wq/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal.jicdeiir.org/web/wq/ws/su/`statesw/­­fornis_docs.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form. c4e-
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M
agreement(s) for.each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to
11ttp://www.envhelp.org/pages/otiestol2express.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'h mile of the site boundary, include the 1/2
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 MI-IW (or NHW) of tidal waters.
i. Dimensioned property/project boundary with bearings & distances.
j. Site Layout with all 13UA 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.
an. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off -site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the maul set of plans, not as a separate document).
p. Vegetated buffers (where required).
(Jr, L
c6t- (Su
g R^k1ET�
Gp5 G
(h G
Form SWU-101 Version 06Aug2012 Page 4 of 6

Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"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 verifij the SHWT prior
to submittal, [phone].) C4
10. A copy of the most current property deed. Deed book: 2927 Page No: 406
11. For corporations and limited liability corporations (LI,C): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item la, 2a, and/or 3a per 15A NCAC 21-I.1003(e).
1'he corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of Slate, otherwise the application will be returned.
11ttL,://www.secretary.state.iic.us/Corporatioiis/CSearcli.aspx
VI1. 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
13UA 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
httx portal.ncdenr.org web/wg/ws/su/statesw/forms does. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DWQ, and that they will be recorded prior to the sale of any lot.
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: Jeremy 1. Beckett, P.E.
Consulting Firm: Commercial Site Design, PLLC
Mailing Address: 8312 Creedmoor Road
City: Raleigh State: NC "Lip: 27613
Phone: (919 ) 848-6121
Ismail: [e-mail]
Fax: (919 ) 848-3741
IX. PROPERTY OWNER AUTHORIZATION (if Con tact Information, item 2 has been filled out, complete this
section)
I, (print or type route of person listed in Contact Information, item 2a) D. Ralph Huff, Ill , certify that I
own the property identified in this permit application, and thus give permission to (print or type none of person
listed in Contact Information, item la) Richard Brtant with (print or type name of organization listed in
Contact Information, item 1a) Brilaut Restaurants, Inc. to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
Form SWU-101 Version 06Aug2012 Page 5 of6

'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 oficivo oent� iFc of Laxto $2&00 Gbr,d$� ursuant to NCGS 143-215.6.
Date:,? Aeri l 9 o (3
Ur v �
I e y , a Notarl ublic for the State of NvY�l (2x-kd I✓L0., County of
(LA6t1,7-eAQIO do hereby certify that P. eaiP
before me this a day of AI rii dol b and
a stormwater permit. Witness my hand and official seal, 4
�``, �� Flay ,,���'•.
tAR
�O ).
z
pus%.
. B
�AND�C���.
X. APPLICANT'S CERTIFICATION
SEAL.
personally appeared
due execution of the application for
My commission expires V A"
I, (print or type nmrue of person listed in Contact Information, item la) Richard Bntnnt - Bntnnt Restaurants, Inc.
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 2H .1000 and any other applicable state stormwater requirements.
Date: N?�(t —34 2-013
1, V- SIMnA"- &4d a Notary Public for theeSState of NG Comity of
,�/ do hereby certify that i �Onri 4>l.G1./�i� personally appeared
before me thi53_'day of+ -Ad A0I_S , and acknowledge
� � e due execution of e application for
a stormwater permit. Witness myhand and official seal, V /fit/ ��d )OA ))ZSf
's
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SEAL
My commission expires Qd a015
form S WU-101 Version 06Aug2012 Page 6 of 6

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State Stormwater Permit
Permit No. SW6111206
Northgate
Harnett County
Designer's Certification
I, /FFOMAf J Sper&N7dQPFas a duly registered uG tie�a n the
State of North Carolina, having been authorized to observe (periodically/ weekly/ full
time) the construction of the project,
Northgate Development
for ft6aL.?ih IRuVlt= (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:
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Signature,,
G'e:r
Registration Number A/ C i°G. 2-
Date 12/ I -9 / 2�
Certification Requirements:
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Page 1 of 2

State Stormwater Permit
Permit No. SW6111206
�. 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 bypass structure weir elevation is per the approved plan.
'_6. The bypass structure is located per the approved plans.
✓7. A Trash Rack is provided on the bypass structure.
/& 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. All required design depths are provided.
/3. All required parts of the system are provided.
___LA4. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Regional Office
Page 2 of 2

7
High Density Commercial Subdivisions
Deed Restrictions & Protective Convenances
In accordance with Title 15 NCAC 2H.1000 and S.L. 2006-246, the Management Regulations, deed
restrictions and protective covenants are required for High Density Commercial Subdivisions where
lots will be subdivided and sold and runoff will be treated in an engineered stormwater control facility.
Deed restrictions and protective covenants are necessary to ensure that the development maintains a
built -upon area consistent with the design criteria used to size the stormwater control facility.
I, Tommy Bradford acknowledge, affirm and agree by my
signature below, that I will cause the following deed restrictions and covenants to be recorded prior to
the sale of any lot within the project known as Northgate Highway 87-24 (1400 Block Cameron
Rd.
1. The following covenants are intended to ensure ongoing compliance with State Stormwater
Management Permit Number SW6111206 , as issued by the Division of
Water Quality under the Stormwater Management Regulations,
2. The State of North Carolina is made a beneficiary of these covenants to the extent necessary to
maintain compliance with the stormwater management permit.
3. These covenants are to run with the land and be binding on all persons and parties claiming
under them.
4. The covenants pertaining to stormwater may not be altered or rescinded without the express
written consent of the State of North Carolina, Division of Water Quality.
5. Alteration of the drainage as shown on the approved plan may not take place without the
concurrence of the Division of Water Quality.
6. The maximum built -upon area per lot, in square feet, is as listed below:
Lot #.VBUA 54,450 sq ft, Lot.# 2 BUA 74,725 Lot # 3 BUA 61,767sq ft, Lot 44 BUA
128,218sq ft, Lot# 5A 31,189 sq ft, Lot 58 BUA 33106 sq R, Lot 5C BUA 32,234sq ft,
Lot 6 29, 853sq ft.
This allotted amount includes any built -upon area constructed within the lot property boundaries,
and that portion of the right-of-way between the front lot line and the edge of the pavement. Built
upon area includes, but is not limited to, structures, asphalt, concrete, gravel, brick, stone, state,
coquina and parking areas, but does not include raised, open wood decking, or the water
surface of swimming pools.
7. All runoff from the built -upon areas on the lot musi drain into the permitted system. This may be
accomplished through a variety of means including roof drain gutters which drain to the street,
grading the lot to drain toward the street, or grading perimeter swales to collect the lot runoff
and directing them into a component of the stormwater collection syslern. Lots ..hat will naturally
drain into the system are not required to provide these additional measures.
8. The owner of each lot, whose ownership is not retained by the permittee, is required to submit a
separate stormwater permit application to the Division of Water Quality and receive a permit
prior to construction.
9. The project and each lot will maintain a 30" foot wide vegetated buffer between all impervious
areas and surface waters.
*`50 foot for projects located in the 20 coastal counties.
Form DRPC-1 Rev.2 051'qov2009 Page 1 of 2

Sig
State of
of
�-a/3
a Notary Public in the
do hereby certify that 1 D nI q — rz Ct f&Yz:i personally appeared
before me this the b ay of 1r(] a ;.; ; i.; ,- , 201 -� , and acknowledge
the du cution of the foregoing instrument. Witness my hand and official seal,
L SEAL
/ Sign ture / �wv�GREEt%. ,
Myommission expires LE 2P pv w �%
r�
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Form DRPC-t Rev.2 .051\1ov2009 Page 2 of

Permit No.
0o he provided hp D41Q)
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
OFF -SITE SYSTEM SUPPLEMENT
FOR DEVELOPMENT DRAINING TO PERMIITF:D OFF-SI'I'E'rRl?A'I'MEN-I' SYSTEMS
This form may he photocopied for use as an original
DWO Stormwater Managcment Plan Review'
A complete stormwater management plan submittal includes a stormwater management permit application, an
oft -site system supplement for each off -site stormwater treatment system, appropriate supplement forms for any
on -site stormwater treatment systems, and plans and specifications showing all stormwater conveyances and
drainage details for the project.
PROJECT INFORMATION
Project Name : Wendy's Restaurant
Contact Person: Mr. Richard Bryant - Bryant Restaurants Inc Phone Number: ( 919)787-0036
Is all drainage from the project directed to the off -site system? (check one): ® Yes ❑ No
11. OFF -SITE SYSTEM INFORMATION (please complete the following information for the off -site system
that will treat runoff from your project):
Permit No. SW6111206
Project Name: Northaate Shopping Center
Type of System (wet pond, infiltration basin, etc.): Infiltration basin
Lot No. (if part of a subdivision): I
How much built upon area draining to the permitted treatment system has been allocated to this project?
1.25 acres or 54,450 sf
IIL REQUIRED ITEMS CHECKLIST
Prior to issuing an Oft' site permit, Verification of the following information must be provided. Initial in the
space provided to indicate that the following requirements have been met and supporting documentation is
attached. If the applicant has designated an agent in the Stormwater Management Permit Application Form, the
agent may initial below. If a requirement has not been met, attach justification.
Form SW40I-OfGSile System-Rev.I Page I of 2

Applica4ii Initials
�160& a. Deed restrictions limiting the built -upon area on the site have been recorded.
65-4— b. Engineers certification for the existing off -site system has been submitted to DWQ.
C4-L c. There are no outstanding Notices of Violation for the off -site system.
(fib/ d. Off site system is in compliance with the issued permit.
IV. STORMWATER COLLECTION SYSTEM MAINTENANCE REQUIREMENTS
Mowing will be accomplished as needed according to the season. Grass height will not exceed six inches
at any time.
Accumulated sediment and trash will be removed from the collection system as necessary. Swales and
ditches will be reseeded or sodded following sediment removal.
Eroded areas of swales and ditches will be repaired and reseeded. Swales and ditches will be revegetated as
needed based on monthly inspections.
The collection system, including catch basins, curb cuts, velocity reduction devices, and piping, will be
inspected monthly or after every significant runoff producing rainfall event. Trash and debris will be
cleared away from grates, curb cuts, velocity reduction devices, and piping.
5. The collection system may not be altered in any way without prior approval from NCDENR Division of
Water Quality.
I acknowledge and agree by my signature below that I am responsible for maintaining the stormwatcr collection
system in accordance with the five 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.
Print Name and Title: Richard Bryant - President
Address: 3105 Glenwood Avenue, Suite 103
Phone: [phone] Date:4/1 /13
Signature: 7A
Note: The legadln responsible parq, should not he a homeowners association unless more than 50'% oJ'the lots have been sold and a
resident of the subdivision has been named the president.
I, -U- and ,566 4 a Notary public for the State of y�C , County of
_{�Ll�l �(,�, f�T��� hereby certify that c4aLi. personally appeared before me this 3
day�y of l�l ��13 , and acknowledge the due execution of the forgoing document including the stormwatcr
collection sysiclu,Dd7gltenance requirements. Witness my hand and official seal,
Form
oNotary pp
My commission expires .WIJ
Page 2 of 2

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