SW8100315_HISTORICAL FILE_20100610

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PER:TN.
SW8 I (� p315
DOC
ElCURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
Zo 1 o O l0 l0
YYYYMMDD

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H Sullins
Governor Director
June 10, 2010
Woodrow W Sullivan, Chief
Fender Volunteer EMS & Rescue, Inc
14388 NC Hwy 210
Rocky Point, NC 28457
Subject: State Stormwater Management Permit No. SW8100315
Pender EMS
High Density Commercial Wet Detention Pond Project
Pender County
Dear Mr Sullivan
Dee Freeman
Secretary
The Wilmington Regional Office received a complete Stormwater Management Permit
Application for Pender EMS on May 27, 2010. Staff review of the plans and specifications has
determined that the protect, as proposed, will comply with the Stormwater Regulations set forth
in Title 15A NCAC 2H 1000 and Session Law 2008-211 We are forwarding Permit No. SW8
100315 dated June 10, 2010 for the construction, operation, and maintenance of the subject
protect
This permit shall be effective from the date of issuance until June 10, 2020, 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 have the
right to request an adtudlcatory hearing upon written request within thirty (30) days following
receipt of this permit This request must be in the form of a written petition, conforming to
Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative
Hearings, P O Drawer 27447, Raleigh, NC 27611-7447 Unless such demands are made this
permit shall be final and binding.
If you have any questions, or need additional information concerning this matter, please contact
Steve Pusey, or me at [phone]
Sincerely,
ict
Georgette Cott
Stormwater Supervisor
Division of Water Quality
GDS/ sgp S.\WQS\STORMWATER\PERMIT\100315.jun10
cc J Rueger Hauck, Jr —Walton Engineering
Chad McEwen, Town of Burgaw
Pender County Building Inspections
Steve Pusey
CWdmington_Regional-Offices
C—entraf Files
Wilmington Regional Office
127 Cardinal Drive Extension, Wilmington, North Carolina 28405 7�TOne t, �
Phone [phone] \ FAX [phone]\ Customer Service 1.877-623-6748 i orth(Cawlina
Internet mmaterquality org a'altmi //,,
An Equal Opportunity 1 Affirmative Action Employer (/ V`L hL(`J

State Stormwater Management Systems
Permit No SW8 100315
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY COMMERCIAL DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Woodrow W. Sullivan & Pender Volunteer EMS & Rescue, Inc.
Pender EMS
Near intersection of Ridgewood Ave. & Hwy 117, Burgaw, Pender County
FOR THE
construction, operation and maintenance of one (1) wet detention pond in compliance
with the provisions of 15A NCAC 2H 1000 and Session Law 2008-211 (hereafter
collectively referred to as the "stormwater rules') the approved stormwater
management plans and specifications and other supporting data as attached and on file
with and approved by the Division of Water Quality and considered a part of this permit
This permit shall be effective from the date of issuance until June 10, 2020, and shall
be subject to the following specified conditions and limitations.
I. DESIGN STANDARDS
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 1.8 on page 3 of this permit The stormwater
control has been designed to handle the runoff from 44,001 square feet of
impervious area
3 A 50' wide vegetative buffer must be provided adjacent impounded structures,
streams, rivers and tidal waters
4 The tract will be limited to the amount of built -upon area indicated on page 3 of
this permit, and per approved plans
5. 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.
6 The runoff from all built -upon area within the permitted drainage area(s) of this
project must be directed into the permitted stormwater control system.
Page 2 of 7

State Stormwater Management Systems
Permit No. SW8 100315
7. The following design criteria have been provided in the wet detention pond and
must be maintained at design condition:
a Drainage Area, acres:
Onsite, ft :
Offsite, ft2:
b Total Impervious Surfaces, ft2.
Onsite, ft
Offsite, ft2:
c Design Storm, inches:
d Average Pond Design Depth, feet:
e. TSS removal efficiency
f. Permanent Pool Elevation, FMS6:
g Permanent Pool Surface Areq, ft
h. Permitted Storage Volume, ft :
i. Temporary Storage Elevation, FMSL:
j Pre-dev. 1 yr-24 hr discharge rate, cfs-
k. Controlling Orifice:
I. Orifice flowrate, cfs
M. Permitted Forebay Volume, ft3:
n Fountain Horsepower
o. Receiving Stream/River Basin:
p Stream Index Number:
q. Classification of Water Body:
II. SCHEDULE OF COMPLIANCE
223
97,241
0
44,001
44,001
0
15
3
90%
40
6,005
7,236 at temporary pool elev.
41
0.1
5 x'/2 0 holes
0.02
2,485
N/A
NE Cape Fear / Cape Fear
18-74-(29.5)
"C; Sw"
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
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 time 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. Semiannual 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 DWQ. The records will indicate the date,
activity, name of person performing the work and what actions were taken.
5. The facilities shall be constructed as shown on the approved plans This permit
shall become void unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other
supporting data.
Page 3 of 7

State Stormwater Management Systems
Permit No SW8 100315
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 for inspection and maintenance shall be
maintained via appropriate recorded 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 development, subdivision, acquisition, lease or sale of any, 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. Prior to the construction of any permitted future areas shown on the approved
plans, the permittee shall submit final site layout and grading plans to the
Division for approval.
11. A copy of the approved plans and specifications shall be maintained on file by
the Permittee at all times
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
II. GENERAL CONDITIONS
This permit is not transferable to any person or entity except after notice to and
approval by the Director In the event of a change of ownership, or a name
change, the permittee must submit a completed Name/Ownership Change Form
signed by both parties, 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 may or may not be approved.
Page 4 of 7

State Stormwater Management Systems
Permit No. SW8 100315
2. The permittee is responsible for compliance with all permit conditions until such
time as the Division approves the transfer request. Neither the sale of the
project nor the transfer of common area to a third party constitutes an approved
transfer of the stormwater permit.
3 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. 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.
5. 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.
6 The permittee grants DENR Staff permission to enter the property during normal
business hours for the purpose of inspecting all components of the permitted
stormwater management facility.
7. The permit remains in force and effect until modified, revoked, terminated or
renewed. The permit may be modified, revoked and reissued or terminated for
cause. The filing of a request for a permit modification, revocation and re -
issuance or termination does not stay any permit condition
8. 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.
9 Approved plans and specifications for this project are incorporated by reference
and are enforceable parts of the permit.
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 request at least 180 days prior to
the expiration date of this permit. The renewal request must include the
appropriate documentation and the processing fee.
Permit issued this the 10'" day of June, 2010.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
By Authority of the Environmental Management Commission
Page 5 of 7

7
DWQ USE ONLY
Date Received
Fee Paid
Permit Number
3—/6- Zo/o
SoS.°
# //600
Applicable Rules: ❑ Coastal SW -1993 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ Mgmt Plair
State of North Carolina
Department of Environment and Natural Resources
Division of Water QualityCEIT/
STORMWATER MANAGEMENT PERMIT APPLICATIO F( i" B 2O1Q
Thu form may be photocopied for use as an original ^
I. 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):
Ridgewood Avenue
City:Burgaw County:Pender Zip:28425
3. Directions to project (from nearest major intersection):
From the intersection of Hwy 53 & Hwy 117, go about 600' south on Hwy 117 and take a right on
Ridgewood Avenue. The subject site is located 381' from the intersection of Hwy 117 & Ridgewood Avenue
on the right (currently there is not a street adress listed for this site).
4. Latitude:34° 33' 32.22" N Longitude:77155' 7.32" W of the main entrance to the project.
H. PERMIT INFORMATION:
1.a.Specify whether project is (check one): NNew ❑Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit numberNA , its issue date (if known)NA and the status of
construction: NNot Started ❑Partially Completed* ❑ Completed* *provide a designer's
certification
2. Specify the type of project (check one):
❑Low Density NHigh 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, NA and the previous name of the project, if different than currently
proposed, NA
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
❑NPDES Industrial Stormwater
NSedimentation/Erosion Control: 2.22 ac of Disturbed Area
0404/401 Permit: Proposed Impacts
b.If any of these permits have already been acquired please provide the Project Name, Project/Permit
Number, issue date and the type of each permit:

i
ill. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, properly owner, lessee,
designated government official, individual, etc. who owns the protect)
Apphcant/Organization:Pender Volunteer EMS & Rescue. Inc.
Signing Official & Title:Woodrow W. Sullivan - Chief
b.Contact information for person listed in item la above
Street Address:14388 NC Hwv 210
City:Rocky Point State:NC Zip:28457
Mailing Address (if applicable)-P.O. Box 650
City:Rocky Point State:NC Zip:28457
Phone: (910 ) 675-9198 Fax: (910 ) 675-9169
Email:
c. Please check the appropriate box. The applicant listed above is:
N 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/Organization:
Signing Official & Title:
b.Contact information for person listed in item 2a above:
Street Address -
City: State,
Mailing Address (if applicable):
City: State,
Phone: ( ) Fax:
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/Orgam7ation:
Signing Official & Title:
b.Contact information for person listed in item 3a above:
Mailing Address:
Phone:
Fax:
4. Local jurisdiction for building permits: Town of Burgaw
Point of ContactChad McEwen Phone #: (910 ) 259-2151

IV. PROJECT INFORMATION
1 In the space provided below, briefly summarize how the stormwater runoff will be treated.
Stormwater will be conveyed to a stormwater wet detention pond and forebay via grass lined swales
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 Approv
❑ Valid Building Permit Issued a e. D
❑ Other: Date:
b.ldentify the regulahon(s) the project has been designed in accordance with:
® Coastal SW -1995 El Ph II - Post Construction $Y.
3. Stormwater runoff from this project drams to the Cane Fear a basin.
4. Total Property Area: 3.41 acres 5. Total Coastal Wetlands Area: 0 acres
6. Total Surface Water Area: 0 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area*:3.41 acres
' Total project area shall be calculated to exclude the following. the normal pool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NNW) line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHW) line The resultant project area is used to
calculate overall percent built upon area (BL IA). Non -coastal wetlands landward of the NHW (or MHW) line may
be included in the total project area
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 29.6 %
9. How many drainage areas does the project have?3 (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
Drainage Area 1
Drainage Area 2
Drainage Area 3
Drainage Area _
Receiving Stream Name
NE Cape Fear
NE Cape Fear
NE Cape Fear
Stream Class *
C ; SW
C ; SW
C ; SW
Stream Index Number *
18-74-(29.5)
18-74-(29.5)
18-74-(29.5)
Total Drainage Area (sf)
28721
26581
41939
On -site Drainage Area (so
28721
26381
41939
Off -site Drainage Area (sf)
1 0
0
0
Proposed Impervious Area"
sf)
22190
19953
1858
% Impervious Area" total
77.2
751
4.43
Impervious— Surface Area
Drainage Area 1
Drainage Area 2
Drainage Area 3
Drama e Area
On -site Buildings/Lots (sf)
4906
10395
0
On -site Streets (so
0
0
0
On -site Parking (so
16760
8822
0
On -site Sidewalks (so
524
736
1858
Other on -site (sf)
0
0
0
Future (sf)
0
0
0
Off -site (sf)
0
0
10
Existing BUA*** (sf)
0
0
0
Total (so:
22190
19953
1858
Stream Class and Index Number can be determined at. http11h2o enr state.nc.us/buns/reporWrMortsWB html

'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 B UA.
11. How was the off -site impervious area listed above determined? Provide documentation. CADD
Projects in Union County: Contact DWQ Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that maybe subject to more stringent stormwater requirements as per 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://h2o.enr.state.nc.us/su/­bmp—forms.htm.
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://h2o.enr.state.nc.us/su/bmp forms.hlm. 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//h2o.enr.state.nc.us/su/msi_maps.htm.)
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://h2o.enr.state.nc.us/sic/bmp forms.htm.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form. C21:
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants Nt`
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 J-Qk�
http://www.envhelp.org/pages/onestopexpress.htmi 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 dpphcation meeting.)
5. A detailed narrative (one to two pages) describing the stormwater treatment/management for Sixu
6. A USGS map identifying the site location. if the receiving stream is reported as class SA or the sea
receiving stream drams to class SA waters within 1h mile of the site boundary, include the 1/2
mile radius on the map
7. Sealed, signed and dated calculations
8. Two sets of plans folded to 8 5" x 14" (sealed, signed, & dated), including:
a Development/Project name.
b. Engineer and firm. T _
c. Location map with named streets and NCSR numbers C�;�`
d. Legend.
e. North arrow.
f. Scale. AR 161010
g. Revision number and dates. Bj'.
h. Identify all surface waters on the plans by delineating the norm tion of CC
impounded structures, the banks of streams and rivers, the MHW or NHW_lindal
waters, and any coastal wetlands landward of the MHW or N14W 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 bearings & distances.
1. Site Layout with all BUA identified and dimensioned
k. Existing contours, proposed contours, spot elevations, f cashed floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
in. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person Provide documentation of quahhcalions 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 main set of plans, not as a separate document).
s2n
SRtt

p. Vegetated buffers (where required)
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify zaa
elevations in addition to depths) as well as a map of the bonng locations with the existing
elevations and boring logs. Include an 8.5"x1T' 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 far DWQ to verify the SFIWr prior
to submittal, [phone] )
10. A copy of the most current property deed. Deed book: 3668 Page No 0194 ttw
11. For corporations and limited liability corporations (LLC). 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 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.aspxx
VH. 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 sires 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
http://h2o ennstate.nc.us/su/bmp forms.htmkdeed restrictions. Download the latest versions for each
submittal.
In the instances where the applicant is different than the properly 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 engmeer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer:Mark Walton
Consulting Firm: Walton Engineering
Mailing Address.P.O. Box 895
Cily:Burgaw
Phone- (910 ) 2594800
Email:[e-mail]
State:NC Zip:28425
Fax: (910 ) 259-1779
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) , 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) with (print or type name of organization listed in
Contact Information, item 1b) 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.
F2ECETVFID
MAR 16 2010
BY:

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 Slormwater
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.
a Notary Public for the State of
do hereby certify that
before me this _ day of
County of
personally appeared
. and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal,
SEAL
My commission
X. APPLICANT'S CERTIFICATION
RECEIVED
MAR 16 2010
BY:
1, (print or type name of person listed in Contact Information, item 2) Woodrow W. Sullivan 1Z
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 conforma%e with the approved plans, that the required deed restrictions
and protective covenants will be recorded, an that the proposed project complies with the requirements of the
applicable stormwater rules under 15A NC C 2H;1000, SL 2006-246 (Ph II - Post Construction) or SL 2008-211.
Signature: j�% �1 7� A,�[ //4-- `Jr— Date: 9 /d
11 �hR 2 �-t_Q_ H!d' f i n1 a Notary Public forthe Stale of NC- . County of
i Pt -& . do hereby certify that WDL dfoW W - S5o I kyan 1l- personally appeared
before me this 1�5 day of Y �W c=b , and ackn wledge a due uti ex on of the application for
a stormwater permit. Witness my hand and official seal, 7
TEAL
Vy commission expires 0 �0-,_�26/o

WALTON ENaiNEERIN
June 08, 2010
Mr Steve Pusey
NC DENR Division of Water Quality
127 Cardinal Drive Extension
Wilmington, NC 28405
Re Stormwater Permit Application, Pender EMS
Dear Mr Pusey,
Enclosed is the additional information that you had requested concerning the state stormwater
permit application for Pender EMS I added the width of the permanent pool to both the plan
view and detail The lengths are correct on both the plan view and the detail view The detail
view is broken down into line segment lengths to illustrate the radius lengths I have added
the total length and width measurements to the detail view so it will better compliment the
plan view drawing The 113' length that you had questioned, was just the length of the main
bay of the permanent pool and did not include the forebay (37.5') When added together you
get the total permanent pool length of 151 5' (37.5'Forebay + 1'Land bridge + 113'Mam Bay
= 151.5')
If you have any questions or need any additional information, please feel free to contact me
at 910-259-4800 or rue er waltonen ing eering net Thanks for your time)
JUN 0 8 Z51Z
Sincerely,
(/ Rueger Houck Jr !/v
Environmental Scientist
Walton Engineering
Tel [phone] PO Box 895, Burgaw, North Carohna, 28425 Fax [phone]

WALTON ENGINEERIN
June 03, 2010
Mr Steve Pusey
NC DENR Division of Water Quality
127 Cardinal Drive Extension
Wilmington, NC 28405
Re Stormwater Permit Application, Pender EMS
Dear Mr Pusey,
Enclosed is the additional information that you had requested concerning the state stormwater
permit application for Pender EMS
If you have any questions or need any additional information, please feel free to contact me
at 910-259-4800 or rueeerna,waltonen ing eermg net Thanks for your time!
Sincere�
J� Rueger Houck Jr
Environmental Scienti
Walton Engineering
JUN 0 4 1010
Tel [phone] PO Box 895, Bwgaw, North Carolina, 28425 Fax [phone]

Pusey, Steven
From: Pusey, Steven
Sent: Tuesday, June 01, 2010 4 02 PM
To: 'J Rueger Houck'
Subject: Pender EMS
Importance: High
Rueger,
I thought we were finished, but I still need a little more information on your drawings for this project. See requirements
below:
1. Basic dimensions on the parking lot such as parking space width (typ.), parking lot overall dimensions, driveway
widths, sidewalk widths, concrete pad overall dimensions, helipad dimension.
2. Square footage of each building labeled next to FFE label.
3. Length and radius of each line and arc of the permanent pool contour.
I hope you can get this finalized soon. Please let me know the earliest date you can provide two (2) revised drawing
sets. Please call me tomorrow afternoon so that we can confirm a due date, and whether any other information is
needed.
Thanks,
Steele f"ffesl
Environmental Engineer
NC DENR - Division of Water Quality
Surface Water Protection -Stormwater
Tel [phone] Fax. [phone]
E-mail: Steven Pusey@ncdenr gov
E-mail correspondence to and from this address may be subject to the NC Public Records Law and may be disclosed to third parties
6�Z/iv
C�D
G i jo, va e �s
1

WALTON ENGINEERIN
May 27, 2010
Mr Steve Pusey
NC DENR Division of Water Quality
127 Cardinal Drive Extension
Wilmington, NC 28405
Re. Stormwater Permit Application, Pender EMS
Dear Mr Pusey,
Enclosed is the additional information that you had requested concerning the state stormwater
permit application for Pender EMS
If you have any questions or need any additional information, please feel free to contact me
at 910-259-4800 or ruegerna,waltonen ing eering.net Thanks for your time
Sincerely,
J Rueger Houck Jr
Environmental Scientist
KECEIVED
MAY 77 2010
Tel [phone] PO Box 895, Burgaw, North Carolina, 28425 Fax [phone]

VALTON ENGINEERIN
May 25, 2010
Mr Steve Pusey
NC DENR Division of Water Quality
127 Cardinal Drive Extension
Wilmington, NC 28405
Re. Stormwater Permit Application, Pender EMS
Dear Mr. Pusey,
Enclosed is the letter authorizing Woodrow W Sullivan to sign for Pender Volunteer EMS &
Rescue, Inc If you have any questions or need any additional information, please feel free to
contact me at 910-259-4800 or ruegerna,waltonen ine eering net Thanks for your time!
Sincerely,
01i . Rueger Houck Jr
Environmental Scientist
RECEIVED
MAY 2 6 2010
BY:
Tel [phone] PO Box 895, Burgaw, North Carolina, 28425 Fax [phone]

PENDER
EMS
VOLUNTEER EMS
& RESCUE, INC.
May 20, 2010
To Whom it May Concern:
Headquarters
14388 Highway 210 West
Rocky Point, NC 28457
Tel [phone] Fax [phone]
www PenderEMS com
Woodrow W Sullivan III. Director
I hereby authorize Woodrow W. Sullivan as my agent to sign permit applications and related
documents for Pender Volunteer EMS & Rescue, Inc.
Sincerely,
rBo rd of Directors President
Pender Volunteer EMS & Rescue, Inc.

Pusey, Steven
From:
J Rueger Houck [rueger@waltonenginee ring net]
Sent:
Thursday, May 20, 2010 8 37 AM
To:
Pusey, Steven
Subject:
Re Fender EMS
Good Morning Mr. Pusey,
You have my approval for the change. The only reason I had to change the calculations for swale #3 is that to
include the vegetative filter strip, I had to increase the area of drainage area #3. 1 only had to increase it ever
so slightly. The square footage increased but not enough to make the overall acreage increase. It remained at
2,23 Ac disturbed area Since I had originally based my Qfor swale #3 on the square footage of drainage area
#3, 1 felt it necessary to re -calculate this value. It only increased the flow by a couple of hundredths but I felt it
still needed to be done. There were no other changes to swale #3 except that one value. Hey lust checking on
the 0&M signatures The last ones I submitted to you had Woody listed as Agent. I am currently trying to
track down the president. I have been all over the Secretary of State website, but there is no president listed.
I am going to make some calls today and hopefully I will have that letter to you tomorrow. Thanks again!
----- Onginal Message _ _
From: Pusey, Steven
To: rueger(cDwaltonenoineenng net
Sent: Wednesday, May 19, 2010 3 32 PM
Subject: Fender EMS
Rueger
Your calculations look good but your Supplement shows SA/DA ratio of 3.8. It should be 5.1 as shown in your
calculations. This will also change the required surface area 14,954 sf in your calculations) I will make the revisions by
hand on your Supplement upon your approval
Also, please explain why grassed swale #3 changed?
Thanks,
Ste
Environmental Engineer
NC DENR - Division of Water Quality
Surface Water Protection - Stormwater
Tel, [phone] Fax [phone]
E-mail Stgvcn Puscy@ilncde rgcv
E-mail correspondence to and from this address may be subject to the NC Public Records law and maybe disclosed to third parties

WALTON ENGINEERIN
May 17, 2010
Mr Steve Pusey
NC DENR Division of Water Quality
127 Cardinal Drive Extension
Wilmington, NC 28405
Re. Stormwater Permit Application, Pender EMS
Dear Mr. Pusey,
Enclosed is the additional information that you had requested concerning the state stormwater
permit application for Pender EMS I checked the pond design to see if it would meet the
design criteria for 90% TSS removal and it did. This removed the requirement of a properly
sized level spreader and vegetative filter for the discharge from the wet pond for a 10 year
storm I then sized an outlet protection consisting of class B rip rap according to the Erosion
and Sedimentation Control Design Manual. I included Figure 8 06a from the manual showing
the sizing calculations Additionally we left the 30' vegetative filter for added pollutant
removal. Because we kept the 30' vegetative filter our disturbed area and drainage area #3
increased in size but not enough to change the total acreage I included page three from the
state stormwater permit application showing the updated square footage for drainage area #3
I also included the spreadsheets for grass swale #3, the wet detention pond, the supplement for
both, and Figures 1, 2, & 7 with the updated pond volumes and new outlet design. If you
have any questions or need any additional information, please feel free to contact me at 910-
259-4800 or rueger waltonen ing eering net Thanks for your time
MAY 19 2010
Sincerely,
�Rueger Houck Jr.
Environmental Scientist
Tel [phone] PO Box 895, Burgaw, North Carolina, 28425 Fax [phone]

Pusey, Steven
From:
Pusey, Steven
Sent:
Wednesday, May 19, 2010 10 45 AM
To:
'rueger@waltonengineering net'
Subject:
Remaining Additional Information
Rueger
As discussed, we are now waiting on revised plans showing a 90% wet detention pond, and revised
Supplement and O&M Agreement for the wet detention pond
In addition, the applicant, Woodrow W Sullivan, is listed as Chief on the permit but listed as the Agent on the
Secretary of State's website Please advise whether Mr. Sullivan is the President, Vice -President, or is an
authorized agent If he is an authorized agent, please submit a letter from the President authorizing Mr
Sullivan to sign the permit
We expect this information to be submitted by latest, May 28, 2010
Please advise if you have any questions
Best regards,
Steve'FarseY
Environmental Engineer
NC DENR - Division of Water Quality
Surface Water Protection - Stormwater
Tel: [phone] Fax: [phone]
E-mail: Steven. Pusey(cbncdenr.gov
E-mail correspondence to and from this address maybe subject to the NC Public Records Low and may be disclosed to third parties

Appendices
30
Outlet N = Dot La
pipe
diameter (D0)
La
T ilwater 0.5Do
l\,al�l�l
11P,
�
o'<PPt�6o .,rrll
j ti
K0.9r !ili I III N!
�n���ti`v _50.}; ft�ii� III Iljl lilll�
..0 �-q 1, - - - u; f illi : Lhl.;i
Emrammmmu lmmmmoamm s
mmrmmeMMHm emmm
I'll
D
-
_1D
0
4
M
4
33
l I ' lvirto+W"npi
oe ��•. .. III j : u I I!il1°ill I'I
, I' =l'I'' ,i
— - -- v-as-ril�-� : I I I'I i I^-�� � — �-�I�-•�-•I-i-I-•-� -,- - � - µi �-±
l 0 tt
3 5 10 20 59 100 200 500 1000 Lf��
Discharge (ft31sec)
c
Curves may not be extrapolated
Figure 6.06s Design of outlet protection protection from a round'p:pe flowing full, minimum tadwater condition (T., < 0.5 diameter)
i
MAY 1 8' 2010
Re\. 12/93 —�— 8.06.3
C

WET POND DESIGN
Project Name FENDER EMS
Calculated By RUEGER
Date 1/12/2010
Drainage Area, DA =
223
acres
Impervious Area, Ai =
101
acres
Percent Impervious, I =
453
%
Average Depth, Havg = Vpp/App =
203
it
Depth to Clean out (from veg shelf), Hbvs =
35
it below Bottom Veg Shelf
Bottom Depth (at Clean Out), Hb =
40
it below Permanent Pool
Average Depth Rounded to Nearest Value in SAIDA Chart =
30
Interpolation Values
IMP%
SAIDA @ Lower Value
Lower Value
Hi her Value
40
45
50
56
SAIDA (%) for 90 % TSS REMOVAL
30 FOOT VEGETATED FILTER REQUIRED
AVG DEPTH ft
30
35
40
45
50
55
60
65
70
75
IMP%
10
13
10
08
07
06
05
04
03
02
01
20
24
20
18
17
15
14
12
10
09
06
30
35
30
27
25
22
19
16
13
11
08
40
45
40
35
31
28
25
21
18
14
11
50
56
50
43
39
35
31
27
23
19
15
60
70
60
53
48
43
39
34
29
24
19
70
81
70
60
55
50
45
39
34
29
23
80
94
80
70
64
57
52
46
40
34
28
90
107
90
79
72
65
59
52
46
39
33
101)
1 120
1 1001
88
1 81
73
1 66
i 58
51
43
36
Interpolated SAIDA @ Rounded Average Depth =
51
(linear interpolation)
Min. Required Surface Area at Permanent Pool, App =
4,954
= SAIDA " DA' 435601100, s f
Design Storm, Sd =
1 5
Inches
Rv = 05 + 009(1) =
046
TP Volume Required, VIP = Sd x (1/12) x DA x Rv x 43,560 =
5,585
c f
Surface Area Provided @ PP, App =
6,005
s f (determined by 2D CAD Analysis)
Elev. @ PP, ELpp =
4000
feet
Let Min. Temp Pool Depth Required, Hip Min = Vtp/App =
0 93
feet
TP Depth Selected, Htp =
100
feet
Elev @ TP, ELtp = Elpp + Hip =
41 00
feet
Surface Area Provided @ TP, Atp =
8,467
s f (determined by 2D CAD Analysis)
TP Volume Provided, Vtp = [(Alp + App)/2] x Hip =
7,236
c f
TP Volume Provided > Required?
Yes
If "No", increase volume provided
Surface Area @ PP Provided > Required?
Yes
If 'No", increase area provided
Area at Top of VS, Atvs =
7875
s f (determined by 2D CAD Analysis)
Area at Bottom of VS, Abvs =,
3857
s f (determined by 2D CAD Analysis)
Area at Bottom of PP (at Clean Out), All =
1,695
s f (determined by 2D CAD Analysis)
PP Volume Provided, Vpp = [Hbvs' (All + Abvs)/2]+[O 5'(Abvs+App)/2] =
12,182
c f
Forebay Volume Required, Vfb Min = Vpp x 0 2 =
2.436
c f
Forebay Depth, Hfb =
400
feet
Forebay Depth from VS, Hfbvs =
350
feet
Forebay Bottom Area (at Clean Out) , Afbg =
221
s,f (determined by 2D CAD Analysis)
Forebay Veg Shelf Surface Area, Afbvs =
882
Forebay Surface Area, APo =
1,337
s f (determined by 20 CAD Analysis)
y Volume Provided, Vfb = [Hfbvs' (Albfl + Afbvs)/21+[0 5'(Afbvs + APo)/2] =
2,485
c f
Forebay Volume Provided > Required?
Yes
If "No", increase volume provided
Orifice Sizing
Flowrate
2 Day Drawdown = Vtp/(2 x 86,400) =
004 c f s
3 Day Drawdown = Vtp/(3 x 86,400) =
003 c f s
4 Day Drawdown = Vtp/(4 x 86,400) =
002 c f s
6 Day Drawdown = Vtp/(5 x 86,400) =
002 c f s
Note The values in this chart are non -linear
Use linear interpolation only on adjacent values
aadsheet and programmed the equations (as
wn) into the spreadsheet I also certify that
calculations hereon were performed by me or
or my direct supervision r
11603
MpV 19 2010

WALTON ENaNEERIN
May 03, 2010
Mr Steve Pusey
'-NC DENR Division of Water Quality
127 Cardinal Drive Extension
Wilmington, NC 28405
Re Stormwater Permit Application, Pender EMS
Dear Mr Pusey,
Enclosed is the additional information that you had requested concerning the state stormwater
permit application for Pender EMS With the addition of a third swale, I reworked the
drainage areas, creating a third one I also included the disturbed area of the proposed
driveway and not just the area of the construction entrance like I had done before With the
redesign of the drainage areas, I re -submitted the swale supplements and the wet detention
basin supplement If you have any questions or need any additional information, please feel
free to contact meat 910-259-4800 or rueeer@waltonengineering net. Thanks for your time
Sincerely
J I"' Houck Jr
Environmental Scientist
RECEIVED
MAY 1 1 2010
BY:_____ --
Tel 910-259A800 PO Box 895, Burgaw, North Carohna, 28425 Fax [phone]

Runoff Calculations
Project Pander EMS
Date 4/26/2010
Basin No
Drainage Area I D
Drainage Area (Total, s f )
Drainage Area (Total, ac
Drainage Area Breakdown
Description Runoff Coefficient
Pre -Development _
Design Storm ( r) 10
Post -Development
Design Storm r) 10
1
1
2
3
1
1
2
3
96,987
28,721
26,581
41,685
223
Area
(s f)
000
Area
(s f)
000
Area
Is f)
000
Area
IS f)
066
Area
Is f )
061
Area
(s f )
096
Area
(s f)
000
Area
(s f )
Sidewalks
085
0
524
--73-6--y
1,858
Natural Vegetation
02
96,987
6,531
1 6,628
39,827
Building
085
0
4,906
10,395
0
Parking
085
0
16,760
8,822
0
Runoff Coefficient, Total Drainage Area
Height of Most Remote Point Above Outlet (ft)
Maximum Length of Travel (ft)
To (min)
Rainfall Intensity (in/hr)
Peak Runoff(cfs)
0200
#DIV/01
#DIV/01
#DIV101
0 702 4
0 688
0 229
#DIV/01
5
1 59 /
1 59 i
5
286
240
170
135
2 8
3.7
2 7
1 3
912
912
912
912
406
#DIV/01
#DIV/01
#DIV/01
1 422
383
200
#DIV/01
RErl"'TWED
MAY 1 1 2010
BY:

m
H (ft)
r.nn
Note
Use nomograph Tc for natural basins with well-defined channels, for overland
flow on bare earth, and for mowed -grass roadside channels
1;
For overland flow, grassed surfaces, multiply Tc)l by 2
rl
For overland flow, concrete or asphalt r
For concrete channels, multiply Tc by
Figure 8.03E Time of concentration of small crainage basins
8.03.4
Tc by 0 4
11 JrO
Mai

3:1 V-Bottom Grassed Swale Design
Project: PENDER EMS
Design Storm (yr): 10
Swale. 1
Drainage Calculations
Drainage Area (s f ),
Drainage Area (acres).
Runoff Coefficient
Vertical Drop (ft):
Max Length of Travel (ft)
ime of Concentration (min )
Rainfall Intensity (in/hr)
Runoff (ftA3/sec)
Swale Data
Vertical Drop (ft)
Swale Length (ft)
Average Slope (ft/ft)-
Average Slope (%)
Maximum Velocity (ff/sec).
MAY 1 1 2010
Designed By: Rueger Houck
Date- 1/19/2010
Asf = 28,721
A = 0.66
C = 0.702
Ha = 1.59 (H = height of most remote point above outlet)
La = 240
Tc = 3.7
1 = 9.12
Qd = 4.26
h =M20
Retardance Class
Ls =
S =
S=
Vmax =
Governing Functions: x = 6h (Wetted Swale Width, ft) (3:1 V-Swale ONLY')
Pw = 6.32*h (Wetted Perimeter, ft) (3:1 V-Swale ONLY')
Aw = 3*hA2 (Cross Sectional Wetted Area, ffA2)(3:1 V-Swale ONL'
R = 0.47*h (Hydraulic Radius, ft)(3.1 V-Swale ONLY')
Continuity Equation: Q = A*V (Volumetnc Flow, ftA3/sec)
Manning's Formula: Vm = (1.49/n)*RA(2/3)*SA(1/2) (Velocity, ft/sec)
Vd = Qd/Aw (Velocity, f /sec)(3.1 V-Swale ONLY!)
Calculations Enter h and n Adjust until Qm >= Qd (get n from graph of V*R vs n)
h =W705
ft
x =ft Vm= 0 88 (Velocity from Manning's, fps
Aw =ftA2 Qm = 5.9 (Flow from Manning's, cfs)
R=ft Qd = 4 3 (Design Flow, cfs)

Appendices
02
Step 10. For grass -lined channels once the appropriate channel dimensions
have been selected for low retardance conditions, repeat steps 6 through 8
using a higher retardance class, corresponding to tall grass Adjust capacity of
the channel by varying depth where site conditions permit.
NOTE I If design velocity is greater than 2 0 f /sec , a temporary lining
may be required to stabilize the channel until vegetation is established
The temporary liner may be designed for peak flow from,the 2-year storm
If a channel requires a temporary lining, the designer should analyze
shear stresses in the channel to select the liner that provides protection
and promotes establishment of vegetation For the design of temporary
liners, use tractive force procedure
NOTE 2 Design Tables —Vegetated Channels and Diversions at the end
of this section may be used to design grass -lined channels with parabolic
t
cross -sections
Step 11. Check outlet for carrying capacity and stability If discharge
I velocities exceed allowable velocities for the receiving stream, an outlet
protection structure will be required (Table 8 05d, page 8 05 9).
Sample Problem 8 05a illustrates the design of a grass -lined channel
®nnnn_o_il
MIME
Le
n1��V
�111\1����IIIIn�
■■l���•
go
mom
®nnn�o:niinn�-::::::::
6 8 10 2 4 6 8 10 20
.I
VR, Product of Velocity and Hydraulic Radius
f
Figure 8.05c manning's nrelated torvebay• hydraulic radius, and vegetal retardance
Note. From Sampe Problem 8 05a mulUpy VD x Hydmluhc Ramus (4 5xo 54=2 43), then enter the product of VR ano extend c
straight line up to Relaroance cjws'0' next protect a straight line W the left to deler ial manning's n
XCEIVED
Ret. 12/93 4AY 8.05.7

3:1 V-Bottom Grassed Swale Desilrn
Project: PENDER EMS
Design Storm (yr): 10
Swale: 2
Drainage Calculations
Drainage Area (s f.)
Drainage Area (acres)
Runoff Coefficient*
Vertical Drop (ft)
Max Length of Travel (ft)
ime of Concentration (min )
Rainfall Intensity (in/hr).
Runoff (ftA3/sec)
Swale Data
Vertical Drop (ft)
Swale Length (ft)
Average Slope (fUft):
Average Slope (%),
Maximum Velocity (ft/sec):
Designed By Rueger Houck
Date 1/19/2010
Asf = 26,581
A= 061
C = 0 688
Ha = 1 59 (H = height of most remote point above outlet)
La = 170
Tc = 2.8
1 = 9.12
Qd =1 386
h = 1 Retardance Class: �D
Ls = 26
S = 0 038
S= 385
Vmax
Governing Functions: x = 6h (Wetted Swale Width, ft) (3:1 V-Swale ONLY!)
Pw = 6 32*h (Wetted Perimeter, ft) (3:1 V-Swale ONLYI)
Aw = 3*W2 (Cross Sectional Wetted Area, ftA2)(3.1 V-Swale ONL
R = 0 47*h (Hydraulic Radius, ft)(3 1 V-Swale ONLY')
Continuity Equation. Q = A*V (Volumetric Flow, ftA3/sec)
Manning's Formula: Vm = (1 49/n)*RA(2/3)*SA(1/2) (Velocity, ft/sec)
Vd = Qd/Aw (Velocity, ft/sec)(3:1 V-Swale ONLYi)
Calculations Enter h and n Adjust until Qm >= Qd (get n from graph of V*R vs n)
h=
1
ft
x =
6
ft
Vm= 2.45 (Velocity from Manning's, fps
Aw =
3
ftA2
Qm = 74 (Flow from Manning's, cfs)
R=
047
ft
Qd = 3.9 (Design Flow, cfs)
V*R=
0.60
n=
0.072
RECEIVED
MAY 1 1 2010
Y:

Appendices
04
02
Step 10. For grass -lined channels once the appropriate channel dimensions
have been selected for low retardance conditions, repeat steps 6 through 8
using a higher retardance class, corresponding to tall grass Adjust capacity of
the channel by varying depth where site conditions permit.
NOTE I If design velocity is greater than 2 0 ft/sec , a temporary lining
may be required to stabilize the channel until vegetation is established
The temporary liner may be designed for peak flow from the 2-year storm
If a channel requires a temporary lining, the designer should analyze
shear stresses in the channel to select the liner that provides protection
and promotes establishment of vegetation For the design of temporary
liners, use tractive force procedure
NOTE 2 Design Tables —Vegetated Channels and Diversions at the end
of this section may be used to design grass -lined channels with parabolic
cross -sections
Step 11. -Check outlet for carrying capacity and stability. If discharge
velocities exceed allowable velocities for the receiving stream, an outlet
protectior�strucmre will be required (Table 8 05d, page 8 05 9).
1,
Sample Problem 8 05a illustrates the design of a grass -lined channel
■■■l
M==
0
����■\1441
�.
Less than 2"
how
moil
ON
own
on
ism,
L10■N��
����iiii��
2 4 1,v 8 10 2 4 6 8 10 20
VR, Product of
Yf Velocity and Hydraulic Radius
I
Figure 8.05c Manning's n related to vebraty, hydraulic radius, and vegetal re rda nw
Note: From Samole Problem 8 05a mulCply Vo x Hydralulic Radius t4 5x0 54_2 43 - of VR ano extend e
straight line uo to Retaraance dass -0-,next rojecta straight Ime n RE)h ing's r,
MAY 112010
Rei. 12/93
i] �-; 8.05.7

3:1 V-Bottom Grassed Swale Design
Project: FENDER EMS
Design Storm (yr) 10
Swale. 3
Drainage Calculations
Drainage Area (s f.)
Drainage Area (acres)
Runoff Coefficient
Vertical Drop (ft)
Max. Length of Travel (ft)
ime of Concentration (min.)
Rainfall Intensity (in/hr)
Runoff (ftA3/sec).
Swale Data
Vertical Drop (ft)
Swale Length (ft):
Average Slope (ft/ft),
Average Slope (%):
Maximum Velocity (ft/sec):
Designed By Rueger Houck
Date 1/1912010
Asf= 41,939
A = 0.96
C = 0.229
Ha = 5 (H = height of most remote point above outlet)
La = 135
Tc = 1 3
i = 9.12
Qd =1 2.03
h = 0.5 Retardance Class
Ls = 155
S = 0 003
S= 032
Vmax = 2.0
Governing Functions: x = 6h (Wetted Swale Width, ft) (3:1 V-Swale ONLY[)
Pw = 6 32*h
(Wetted Perimeter, ft) (3-1 V-Swale ONLY')
Aw = 3*hA2
(Cross Sectional Wetted Area, ftA2)(3 1 V-Swale ONL'
R = 0 47*h
(Hydraulic Radius, ft)(3 1 V-Swale ONLYI)
Continuity Equation, Q = A*V
(Volumetric Flow, ftA3/sec)
Manning's Formula, Vm = (1.49/n)*RA(2/3)*SA(1/2)
(Velocity, ft/sec)
Vd = Qd/Aw
(Velocity, ft/sec)(3:1 V-Swale ONLY')
Calculations Enter h and n. Adjust until Qm >= Qd (get n from graph of V*R vs n)
h =
x=
Aw =
R=
V*R=
n=
1.5
It
It
ftA2
ft
9
675
0 705
021
013
Vm= 0 52
Qm =1 3.5
Qd = 2-0
(Velocity from Manning's, fpE
(Flow from Manning's, cfs)
(Design Flow, cfs)
RC:10010
A
i�
—

Appendices
5
04
02
Step 10. For grass -lined channels once the appropriate channel dimensions
have been selected for low retardance conditions, repeat steps 6 through 8
using a higher retardance class, corresponding to tall grass Adjust capacity of
the channel by varying depth where site conditions permit
NOTE 1 If design velocity is greater than 2.0 fl/sec., a temporary lining
may be required to stabilize the channel until vegetation is established
The temporary liner may be designed for peak flow from the 2-year stone
If a channel requires a temporary lining, the designer should analyze
shear stresses in the channel to select the liner that provides protection
and promotes establishment of vegetation. For the design of temporary
liners, use tractive force procedure
NOTE 2 Design Tables —Vegetated Channels and Diversions at the end
of this section may be used to design grass -lined channels with parabolic
cross -sections
Step 11. Check outlet for carrying capacity and stability If discharge
velocities exceed allowable velocities for the receiving stream, an outlet
protection structure will be required (Table 8 05d, page 8 05.9).
Sample Problem 8.05a illustrates the design of a grass -lined channel 1'1UL-1 K,_
I MAY 11201z
NM
116411►�i�
1 o 2 o
than 2"
=
�
noLess
MEN���I��®���iiii��
v b e 10 2
i
VR, Product of Velocity and Hydr
Figure 8 05c Manning's n related to velocity, hydraulic radius, and vegetal retardance
Note: From Sample Problem 8 05a mulnoly Vo x Hvdralulr Radius (4 5x0 54=2 43), I
straight line up to Retaraance cass -0', next oroiect a straight line ro Ine left m
4 6 8 10 20
Radius
the product of VP, ano extend z
a teal mammng's r,
Rer 12/93 ti 8.05.7

+ZWKWA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
April 23, 2010
Woodrow W Sulllivan
Pender Volunteer EMS & Rescue, Inc
14388 NC Hwy 210
Rocky Point, NC 28457
Subject: Request for Additional Information
Stormwater Project No. SW8 100315
Pender EMS
Pender County
Dear Mr Sullivan
Dee Freeman
Secretary
The Wilmington Regional Office received and accepted a State Stormwater Management Permit
Application for Pender EMS on March 16, 2010 A preliminary in-depth review of that
information has determined that the application is not complete The following information is
needed to continue the stormwater review
Please specify BMP and swale side slope vegetation and the wetland species to
be planted on the 10 1 vegetated shelf of a wet pond
A soils report for all engineered systems and curb outlet swale systems is
required The report should contain the estimated Seasonal High Water Table
(SHWT) elevation at each proposed BMP location reported in FMSL, not as a
depth below existing ground (BEG) If it's reported as a depth BEG, the bore map
must include the existing ground elevation at each bore location Please show
the SHWT elevation on the sectional drawing of the pond.
3 Please ensure that swale bottom elevations have an average of 1' separation
from the SHWT Show swale spot elevations on the drawing
4 Please revise page 3 of the application, data table, showing values for existing
BUA which should be 0.
5 Please add the following information to the elevation / area table on the plans
0 Sediment cleanout elevation / area
0 Bottom of vegetated shelf elev. / area
0 Top of vegetated shelf elev / area
0 10-year storm elev / area
6 Please show all elevations listed in item 5 above on the sectional drawing of the
pond
7. Please show a detail of the level spreader on the details page Note that width of
level spreader should be designed in accordance with the BMP manual for the flow
rate of the 10-year storm
Wilmington Regional Office
127 Cardinal Drive Extension, Wilmington, North Carolina 28405 One
Phone [phone] FAX [phone]Customer Sennoe 1-877-623-6748 NorthCarolina
Internet v rimaterquality org a'�atma//y
'An Equal Oppodunity l Affirmative Action Employer (/ {v !4L "

Pender Volunteer EMS & Rescue
April 23, 2010
Stormwater Application No. SW8 100315
8 Please correct the legend for the proposed contours and show all proposed contours
on the site map
9 Please show a swale to direct the runoff from the helipad into the forebay of the
pond, and account for this BUA in the calculations Also, please submit a swale
calculation sheet for this item.
10 The applicant, Woodrow W Sullivan, is listed as Chief on the permit but listed as the
Agent on the Secretary of State's website Please advise whether Mr. Sullivan is the
President, Vice -President, or is an authorized agent If he is an authorized agent,
please submit a letter from the President authorizing Mr Sullivan to sign the permit
11. Please remember that a change to one number may have a domino effect on other
numbers Please check all plans, calculations and forms and make changes as
needed
Please note that this request for additional information is in response to a preliminary review
The requested information should be received in this Office prior to May 20, 2010, or the
application will be returned as incomplete The return of a project will necessitate resubmittal of
all required items, including the application fee.
If you need additional time to submit the information, please mail, email or fax your request for a
time extension to the Division at the address and fax number at the bottom of this letter The
request must indicate the date by which you expect to submit the required information The
Division is allowed 90 days from the receipt of a completed application to issue the permit
The construction of any impervious surfaces, other than a construction entrance under an
approved Sedimentation Erosion Control Plan, is a violation of NCGS 143-215 1 and is subject
to enforcement action pursuant to NCGS 143-215 6A
Please reference the State assigned protect number on all correspondence Any original
documents that need to be revised have been sent to the engineer or agent All original
documents must be returned or new originals must be provided Copies are not acceptable If
you have any questions concerning this matter please feel free to call me at [phone] or
email me at steven pusey@ncdenr gov
Sincerely,
Steve G. Pusey
Environmental Engineer
GDS/sgp- S.\WQS\STORMWATER\ADDINFO\2010\100315 apr10
cc. Mark Walton, PE — Walton Engineering
Steve Pusey
Wilmington Regional Office Stormwater File
Page 2 of 2

v .vJc" Vaoa¢c. S I oermvm: V,21gn6on Date:
Project Received Date Acce fed elected, car le one
Project Location dd egwred (e no Date received
S mbols foi comoleLna form '✓'= Yas/r)K 'X'= Nn/rlafiriaN 'n/.'
Rule(s) Subject (check all that apply)•
❑ 1995 Coastal 1?'2008 Coastal
❑ Phase II ❑ Universal
Paperwork.
check for $505 (must be no older than 6 months)
�Q�Appllcatlon form with correct/onglnal signatures (original plus 1 copy) If Corporation or LLC also
o Print the info from the NCSOS
o Either, 1 ) The applicant is listed on the NCSOS with his/her correct title or, 2 ) A notarized letter of
authorization has been provided y\`
supplements (1 original per BMP) BMP type(s) POP,3p (2DR.5 -b NDi (WS /U 1 To L$(FS
&M with correct/onginal signatures (1 original per BMP, except level spreaders/filter strips and swales)
Deed restrictions (if outparcel or subdividing) (original plus 1 copy)
o Deed restriction template (signed and notarized) or
o Proposed Declaration of Covenants and Restrictions (signed and notarized)
oils report identifying the SHWT
supporting calculations, signed & sealed (if necessary)
&--I�eceiving stream classification C,•,SL J , If SA or ORW also
o SA USGS topo map with the site, the receiving waters and the mile radius shown to scale
o ORW 575 ft of MHWL for Area of Environmental Concern and max BUA per rule
,jal-`Modifications 1 ) If built Designer's Cert , 2 ) If partially built Partial Cert , 3 ) If not built No Cart needed
Development Type (check all that apply):
El Residential or !!'Commercial Q Deed restrictions match?
❑ Subdivision or lKingle Lot ❑ Deed restrictions match?
111" High Density or Q Low Density Q Deed restrictions match?
NIR ❑ Offsrte project ❑ Redevelopment Q Modification ® Exempt
r�IR ❑ NCG02 (bulkhead) Cl NCG03 (clear/glade) ❑ NCG04 (linear)
Density.
Q,' BUA calculations include common areas, clubhouse, sidewalks, etc
CV BUA % a1. (p , Matches high/low density requirement for rule and receiving stream class
L/ No obvious math errors
If High Density Design storm correct for rule and receiving stream class %.,a r
Plans, si ned and sealed (2 sets):
wo sets received dr-IlLaiyout (with proposed BUA dimensions)
9Gr�ading Q- DJainage area map (all HD systems & curb outlet swales)
Cindy map Cy/Project Boundaries CjCegend
Wetlands
o Delineated on plans o,- "No wetlands onsite" on plans
Q..-Details
o Roads o Cul-de-sacs o Curbing o Sidewalk
o BMPs/ Level spreaders/ Filter strips/ Curb outlet swales o Buildings (Apts or Condos)
OffusKe Projects:
® D Igner's Certification has been submitted for the Offslte BMP receiving the runoff from the project
❑ eed restrictions have been recorded and a copy submitted for the Offsite BMP permit
Lot size has not changed from what was approved under the Master Plan
❑ Correct lot nurnbei is referenced on the suppiernent roim
® site system Is in compliance with its permit, if known
Ittfrltr n Projects:
❑ Soils report SHWT, soil type, and expected infiltration rate are provided
❑ DWQ has conducted a site visit? Date
Wet Ponds. Permanent Pool Meets One of the Followmg:
❑ Is located no lower than 6" below the estimated SHWT
❑ Incoming groundwater is quantified and evaluated, AND Storage volume verified, AND Outlet evaluated for free
drainage to the receiving waters under SHWT conddlons
Decision (check one):
LJ Complete Return file to admen (Jo Casmer) to login (Stamped in received date = BIMS date)
El Slightly incomplete E-mail consultant, request information to ba returned wiihrn one business day (24 houis after
request Info requests on Friday, allow a return on the following business day) If into not returned, Issue- an
application return letter and give everything to admen (Add info received date = BIMS date)
❑ Substantially incomplete Issue an application return letter and give everything to admen

WALTON ENCINEERIN
Certification
I hereby certify that the calculations submitted with the Stormwater Management Application for
Pender EMS were performed under my direct supervision
I hereby certify that I personally developed and tested all spreadsheets submitted with the plans and
applications for Pender EMS and that each spreadsheet uses correct formulas and equations
P E. Signature
P E Name
:'I SEAT.
Registration No 16879 16879
State: North Carolina
Date: 3/11 / Ib
Tel [phone] PO Box 895, Burgaw, North Carolma, 28425 Fax [phone]

+P0194o°;�;tt.
P+Mer e+u+t
- c+w rorz
PIN 0 3da1-(a5--AS-3- 00o
8ld-p9 -jNr
Exose Tax "00 (Tat En pt N C G S § 105-228 28)
�a1J14 m cr 3229-65-3953-0000
STATE OF NORTH CAROLINA
PENDER COUNTY
GENERAL WARRANTY DEED
Tlus General Warranty Deed is made and entered into this the I 1 a' day of August, 2o09,
by and between the Town of Burgaw, a North Carolina municipal corporation organved and
existing under the laws of the State of North Carolina ("Grantor") and Pender Volunteer EMS
and Rescue, Inc, a North Carolina non-profit corporation, (hereinafter referred to as "Grantee"),
WITNESSETH:
That the Grantor, for valuable consideration paid by the Grantee, the receipt of which is
hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the
Grantee rn fee simple that certain tract of real property located in the Town of Burgaw, Burgaw
Township, Pender County, State of North Carolina being fully described as follows, to wn,
located in the Town of Burgaw, Burgaw Township, Pender County, North Carolina and being
more fully described as follows, to wrt•
Being all of Tract 2A and consisting of approximately 3.406 acres, more or less, as shown on a
survey map entitled "Map of Division for Park Lake Properties, LLC" as prepared by Daniel H
Thompson, PLS from a survey on February 4, 2008, and recorded in Map Book 48, at Page 68 in
the Office of the PenderCountyRegister of Deeds, State of North: CaF6tina; remf:rence to which is
hereby made for a morecomplete and accurate description
To have and to hold the aforesaid tract or parcel of land and all privileges and
appurtenances there unto be ngurg to the Grantee and its successors and assigns.
tleore 8 Xen+n
MAR 16 2010

�366�.P6195p,o a::tno
pmd�r Ceuntya epbbr or 0eide pay* 3 of 2
And Grantor does covenant that it is seized of said premises in fee simple and has the
right to convey the same in fee simple, that the same is free from encumbrances, and that it will
warrant and defend the said title to the same against all claims of all persons whatsoever except
for the exceptions hereinafter stated
Title to the property hereinabove described is subject to the following exceptions -
Town of Burgaw and Pender County real property taxes for the year 2009 and
subsequent years, if assessed.
2. All utility and roadway easements of record in the Office of the Pender County
Register of Deeds, State of North Carolina
Zoning and subdivision ordinances of the Town of Burgaw adopted and in
effect as of August 11, 2009
In Testimony Whereof, said Grantor has caused this instrument to be signed in its
corporate name by the authority of its Mayor on the day and year first above written
TOWN OF BURGAW
By
Kenneth T Cowan, Mayor
Attested to� _C l.�nr,c'i
To Clerw� k --
STATE OF NORTH CAROLINA
COUNTY OF PENDER
1. R-nra+ c— Ke.iw.r :ZL. , a Notary Public for the aforesaid County and State,
certify that Sylvia W. Raynor personally came before me this day and acknowledged that she is
Clerk to the Board of Commissioners of the Town of Burgaw, a North Carolina municipal
corporation and that by authority duly given and as the act of the Town of Burgaw, the foregoing
instrument was signed in its name byits Mayor; Kenneth-T: Cowan; sealed with its corporate —
seal, and attested by herself as its Clerk.
Wr s my hand and official seal, this the 1I" day of August, 2009.
c ROBERT C. KENAN. JR.
NQMRKF21tt8Bn1;)
My Commission Expires `-$ .der3 PENDER COUNTY, NO

Needham Environmental Inc.
Robes N Needham, PWS
9100 Chuleslowoc Rd SE
Wmnabow, NC 28479
Office/Fax [phone]
needhambud(&ec u com
Rueger Houck
Walton Engineering
P.O. Box 895
Burgaw, NC 28425
Tom Gulley, NCLSSH1256
P O_ Box 960
Wilmmglon, NC 28402
Office/Fax [phone]
lgullcycgmail com
December 31.2009
RE: Seasonal High Water Table and Infiltration Rate Detemmnation for Pender County EMS
Site, Burgaw, North Carolina.
Dear Rueger:
On December 30, 2009, I performed a stormwater evaluation for the above -mentioned tract,
located off Ridgeway Road. Two soil bonngs were placed at locations predetermined by your
office. Labeled, pin flags were placed at each boring location. Attached are detailed soil profile
descriptions with estimated infiltration rates and estimated seasonal high water tables.
If you have any questions or concerns, please contact me at [phone], [phone], or by
e-mail at tnulley(cilglnail.com.
MAR ` 6 zoo
Sincerely,
J. Tom Gulley, Jr.
North Carolina Soil Scientist # 1256

Pender EMS - Ridgeway Road
Soil Profile Descriptions
Infiltration
Location Horizon
Depth
Color
Texture
Structure
Rate (in/hr)
X7 A
0-5"
2.5Y 2 5/1
Fine Sandy Loam
Weak Granular
1-2
E
5-14"
2 5Y 613
Loamy Fine Sand
Weak Granular
2-3
Bit
14-26"
2.5Y 6/6
Fine Sandy Loam+
1 W eak SBK
1-1.5
Bt2
26-42"+
2.5Y 6/6
FSandy Clay Loam
2Weak SBK
0 5-1
Notes/Mottles
observed water = 40"
estimated water table = 26"
w/ cfd 2 5Y 6/2, 2.5Y 6/3, & 10YR 6/8
mottles
w/ mcp 2.5Y 7/1 & 10YR 6/8 mottles
X1 A
0-8"
2.5Y 4/3
Loamy Fine Sand
Weak Granular
1-2
observed water = >36"
E
8-15"
2 5Y 6/4
Fine Sandy Loam
Weak Granular
2-3
estimated water table = 24"
Bt1
15-21"
2 5Y 6/6
FSandy Clay Loam
Weak SBK
1-1.5
w/ fff 2.5Y 6/4 & 2.5Y 6/8 mottles
Bt2
21-24"
2 5Y 6/8
FSandy Clay Loam
3Weak SBK
0 5-1
w/ fff 2.5Y 613 & 2.5Y 6/8 mottles
Bl3
24-36"+
_2.5Y 6/8
FSandy Clay Loam
Massive
0 1-0 5
w/ mmd 2 5Y 6/2 & 7 5YR 6/8 mottl
RECEIVED
MAR 16 2010
BY:
Needham Environmental, Inc.

O�
p
e
n
C>

OVINERSHI P 03122009
TOM OF BURGAW
a`o I-t I /
FINANCE OFFICER
BURGAW, NC 28425
DEED:3548 198 11212008 397000
RECEIVED
MAR 16 2010
BY:
B
#ISTRUCTUREISKTCH-SF*STHT=
PRIOR VALUE
LAND
BL DG
PROPERTY DESCRIPTION I TAX SUBDIVISIONS (PIN CARD NO I
TR 2A P11 48J68 PARK LAKE DI ITV1P BURGAW I3229-65-3953-0000
ITOWV OF BURGAW IRECORD NUMBER:
k64
ENDER EMS IROUTE 6500,0
[LISTER:
RI DGEVAOOD AVE I REVI EW
ITOPQ ISTREET (UTILITY ZONING 3,41 ACRES
(LEVEL IEXCELLENIELECTRIC RA
NOTES:
#ILAIND CLASS I SIZE IBASERATE*FRNT*DPTH*ADJ=ADJRATE*UNITS=LND-VALUE
12I53RWOOD LANI 3,41ACI 60001 0,95ACFI I 76001 3.411 25916
LAND! VALUE;
#IOTHER FEAT I SIZE IBASERATE*COND
OTHER VALUE:
FNDATION IXTRFNI5HIROOF TYPE ROOF MTRL 5IZEIQTY
VALLFNSHI FLOORS
HEAT&AI R
HEATFUEL
I CONDI TI ON AD]:
AREA RATE*GRDF+HEAT+EXVAL*VL HT-ADJRAT* AREA=
25916
=ADJRATE*UNITS=RCNOB-VAL
RCN:
RCNL D:
MAP: 00480068
M
RPCN* DEPF*CNDF=STR-VALUE
STRUCTURE VALUE:
APPRAISED -VALUE: 25916

WALTON ENGINEERING
March 16, 2010
Ms Linda Lewis
NC DENR Division of Water Quality
127 Cardinal Drive Extension
Wilmington, NC 28405
Re Stormwater Permit Application, Pender EMS
Dear Ms. Lewis,
Enclosed is the Stormwater Site Plan This letter serves as the narrative description for the
project for the Stormwater Management Permit Application
The application is for a high -density project (with no curb or gutter), draining to C,Sw waters
The application is for a new site to be developed The subject sit has established vegetation
Currently there are no impervious areas on -site
Stormwater runoff from the area will drain via two grassed swales into a wet detention pond
Ultimately, stormwater runoff will flow into the Northest Cape Fear River
Silt fencing will be used within the project area Routine inspections and maintenance will be
performed to insure that the erosion control measures are in good condition and operating
properly. Repairs will be made immediately to any erosion control measures found to be
insufficient
RT'CETVED
MAR ' 6 2010
BY.--_----
Sincerely,
CJ Rueger Houck J
Environmental Scientist
Tel [phone] PO Box 895, Burgaw, North Carolina, 28425 Fax [phone]

SOSID: 644764
Date Filed: 9/9/2002 11:09 AM
22 246 5294 STATE OF NORTH CAROLINA Elaine F. Marshall
DEPARTMENT OF THE SECRETARY OF STA" North Carolina Secretary of State
ARTICLES OF INCORPORATIOI
NONPROFIT CORPORATION
Pursuant to Section 55A-2-02 of the General Statues of North Carolina, the undersigned corporation does
hereby submit these Articles of Incorporation for the purpose of forming a nonprofit corporation.
I . The name of the Corporation is: Pender Volunteer EMS and Rescue. Inc
2. x (Check only if applicable.) The corporation is a charitable or religious corporation as defined in
N.C.G.S. Section 55A-1-40(4).
3. The street address and county of the initial registered office of the corporation is:
Number and Street 16660 US Highway 17
City, State, Zip Code Hampstead, NC 28443 County Pender
4. The mailing address if diJferentfrom the street address of the initial registered office of the corporation
is:
(Same)
5. The name of the initial registered agent is:
Woodrow W. Sullivan III
6. The name and address of each incorporator is as follows:
Charles David Morison, P. O. Box 1184, Hampstead, NC 28443
7. (Check either a or b):
x a. The Corporation will have members.
b. The Corporation will not have members.
8. Attached are provisions regarding the distribution of the corporation's assets upon its dissolution.
9. Any other provisions which the corporation elects to include are attached.
10. The street address and county of the principal office of the corporation is:
16660 US Highway 17, Hampstead, NC 28443 County Pender
11. The mailing address if different from the street address of the principal office is:
(Same)

12. These articles will be effective upon filing, unless a later time and/or date is specified:
This theAday of O , 2W2,
Signature ofSignature ofIncorporatorr
Charles David Morison
Type or print Incorporator's name an&litte ifany
NOTES:
I. Filing fee is $50.00. This document and one exactor conformed copy of these articles must be filed
with the Secretary of State. (Revised July 1994)
CORPORATIONS DIVISION 300 N. SALISBURY STREET RALEIGH, NC 27603-5909

Purposes of Corporation
This corporation is organized for the following purposes(s):
_ religious,
x charitable,
x educational,
testing for public safety,
scientific,
_ literary,
_ fostering national or international amateur sports competition, and/or
_ prevention of cruelty to children or animals,
including, for such purposes, the making of distributions to organizations that qualify as exempt
organizations under Sections 501 (c)(3) and 170 (c)(2) of the Internal Revenue Code of 1986 (herein the
"Code")(or the corresponding provisions of any future United States Internal Revenue Code).
Prohibited Activities
No part of the net earnings of the corporation shall inure to the benefit of, or be distributable to its
members, directors, officers, or other private persons, except that the corporation shall be authorized and
empowered to pay reasonable compensation for services rendered and to make payments and distributions
in furtherance of the purposes set forth in these articles of incorporation. No substantial part of the
activities of the corporation shall be the carrying of propaganda, or otherwise attempting to influence
legislation, and the corporation shall not participate in or intervene in (including the publishing or
distribution of statements) any political campaign on behalf of or in opposition to any candidate for public
office. Notwithstanding any other provision of these articles, the corporation shall not carry on any other
activities not permitted to be carried on (a) by a corporation exempt from Federal income tax under section
501 (c)(3) of the Code or (b) by a corporation, contributions to which are deductible under section
170(c)(2)) of the Code.
Distributions upon Dissolution
Upon the dissolution of the corporation, the Board of Directors shall, after paying or making provision
for the payment of all of the liabilities of the corporation, dispose of all of the assets of the corporation
exclusively for the purposes of the corporation in such manner, or to such organization or organizations
organized and operated exclusively for charitable, educational, religious, or scientific or literary purposes
as shall at the time qualify as an exempt organization or organizations under section 501 (c)(3) of the Code
as the Board of Directors shall determine, or to federal, state, or local governments to used exclusively for
public purposes. Any such assets not so disposed of shall be disposed of by the Superior Court of the
county in which the principal office of the corporation is then located, exclusively for such purposes or to
such organization or organizations, such as the Court shall determine, which are organized and operated
exclusively for such purposes, or to such governments for such purposes. Where possible such assets shall
be disposed of to agencies providing rescue and emergency medical services in Pender County, North
Carolina.

i
t
1UL�(i�e�YA
j
t
... ...
I:na twa u1 n..s: wcas
auction of USGS
aw Quadrangle
Burgaw, NC
Series (Topographic)
Site Location Ma
Pender County EMS
Ridgewood Avenue
Burgaw, NC 28425

Total Site Area = 3.41
Project Area -3.41
Disturbed Area -2.2.22
as E
C turbetl Area Map
�.,�ou�rvEMs

Total Site Ana - 3.41
Project Area -3.41
Disturbed Area -2-22
S,te M.0

Total Ske Area - 3,41
Project Area -3.41
Disturbed Area -2.22

p 5 1, - I I Details I I f '/r' ;

Con ;IS
Parcels
PENDER VOLUNTEER EMERGENCY PIN: 3229-65-3953-0000 Sale Price:Name:
MEDICAL SERVICES & RESCUE INC
Deed:
3668/194
Geed 8/12/2009
Date:
Plat:
00480069
Address:
PO BOX 650 City: ROCKY POINT
State:
NC
Zip:28457
Land 25916
Value:
Building
Value:
0
Deferred Value:
0
Total 25916
Value:
Subdivision:
Neighborhood:
00
Tax G01 C52 R40
Codes:
Zone:
Incorp
Property Address: RIDGEWOOD AVE Acres: 3.41
Township:
BURGAW
Property
TR 2A PB 48/68 PARK LAKE DIV
Description:
1:6a9 feet
Pender County GIS
pI�NDFP
:, RECEIVfffj
BY
I of 1 12/l/2009 9:16 AN