SW8100917_HISTORICAL FILE_20101102

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2 G 1 G l 1 U 2
YYYYMMDD
r

��
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Colleen H. Sullins
Governor Director
November 2, 2010
Ronnie B. Matthews, President
Family Foods, Inc.
10191 Ramsey Street
Linden, NC 28356
Subject: State Stormwater Management Permit No. SW8 100917
Shallotte Taco Bell
High Density Commercial Wet Detention Pond Project
Brunswick County
Dear Mr. Matthews.
Dee Freeman
Secretary
The Wilmington Regional Office received a complete Stormwater Management Permit Application for
Shallotte Taco Bell on October 29, 2010. 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 2008-211 We are forwarding Permit No. SW8 100917 dated
November 2, 2010, for the construction of the subject project
This permit shall be effective from the date of issuance until November 2, 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 adtudicatory 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 150E of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings, P 0. 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 Chris
Baker, or me at [phone]
Sincerely,
eorgette c�S ott
Stormwater Supervisor
Division of Water Quality
GDS/csb: S:\WQS\STORMWATER\PERMIT\100917.nov10
CC' Scott Brown, P. E., 4D Site Solutions, Inc.
Brunswick County Building Inspections
Brunswick County Engineering
Wilmington Regional Office
Wilmington Regional Office
127 Cardinal Onve Extension, Wilmington, North Carolina 28405 NonIthCarojina
Phone [phone]\FAX [phone]\Customer Service 1-877-623-6748 �aturatly
Internet v ncwaterquality org

State Stormwater Management Systems
Permit No. SW8 100917
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
Family Foods, Inc
Shallotte Taco Bell
Business 17, Shallotte, Brunswick County
FOR THE
construction, operation and maintenance of a 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 November 2, 2010, 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 24,652 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 100917
VA
The following design criteria have been provided in the wet detention pond and
must be maintained at design condition
a. Drainage Area, ?cres
Onsite, ft .
Offsite, ftZ:
b. Total Impervioul Surfaces, ft2:
Onsite, ft :
Offsite, ftZ•
c Design Storm, inches.
d Average Pond Design Depth, feet.
e. TSS removal efficiency
f. Permanent Pool Elevation, FMSL-
g Permanent Pool Surface Arei, ftZ:
h. Permitted Storage Volume, ft :
1. 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
2
12
38,026
25,681
2,345
24,652
22,307
2,345
15
3
90%
22
3,109
5,453
2328
0.54
1.25"0 pipe
003
2,395
N/A
Woodward Branch / Lumber
15-25-2-8
"C, SW, HQW"
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.
q. Access to the outlet structure must be available at all times.
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.
Decorative spray fountains will not be allowed in the stormwater wet detention
basin with less than 30,000 cubic feet of permanent pool volume. This wet basin
contains a permanent pool volume of 11,674 cubic feet therefore spray fountains
will not be allowed.
Page 3 of 7

State Stormwater Management Systems
Permit No. SW8 100917
6. 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.
7. 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.
8. 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
9 Access to the stormwater facilities for inspection and maintenance shall be
maintained via appropriate recorded easements at all times.
10 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.
11. 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.
12. A copy of the approved plans and specifications shall be maintained on file by
the Permittee at all times.
13. The Director may notify the permittee when the permitted site does not meet one
or more of the minimum requirements of the permit. Within the time frame
specified in the notice, the permittee shall submit a written time schedule to the
Director for modifying the site to meet minimum requirements. The permittee
shall provide copies of revised plans and certification in writing to the Director
that the changes have been made.
III. GENERAL CONDITIONS
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 100917
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.
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 2nd day of November, 2010.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
By Authority of the Environmental Management Commission
Page 5 of 7

State Stormwater Management Systems
Permit No SW8 100917
Shallotte Taco Bell
Stormwater Permit No. SW8 100917
Brunswick County
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,
(Project)
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.
The checklist of items on page 2 of this form is included in the Certification.
Noted deviations from approved plans and specifications -
Signature
Registration Number
Date
SEAL
Page 6 of 7

State Stormwater Management Systems
Permit No. SW8 100917
Certification Requirements:
1. The drainage area to the system contains approximately the permitted
acreage
2 The drainage area to the system contains no more than the permitted
amount of built -upon area.
3 All the built -upon area associated with the project is graded such that the
runoff drains to the system.
4. All roof drains are located such that the runoff is directed into the system
5 The outlet structure elevations are per the approved plan
6. The outlet structure is located per the approved plans
7. Trash rack is provided on the outlet structure.
8. All slopes are grassed with permanent vegetation.
9. Vegetated slopes are no steeper than 3:1.
10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
11. The permitted amounts of surface area and/or volume have been
provided.
12. Required drawdown devices are correctly sized and located per the
approved plans
13. All required design depths are provided
14. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
15. The required system dimensions are provided per the approved plans.
16. All components of the stormwater BMP are located in either recorded
common areas, or recorded easements.
CC' NCDENR-DWQ Regional Office
Brunswick County Building Inspections
Page 7 of 7

Permit Number:
(to be provided by DWQ)
Drainage Area Number.
Wet Detention Basin Operation and Maintenance Agreement
I will keep a maintenance record on this BMP. This maintenance record will be kept in a
log in a known set location. Any deficient BMP elements noted in the inspection will be
corrected, repaired or replaced immediately. These deficiencies can affect the integrity
of structures, safety of the public, and the removal efficiency of the BMP.
The wet detention basin system is defined as the wet detention basin,
pretreatment including forebays and the vegetated filter if one is provided.
This system (check one):
❑ does ® does not incorporate a vegetated filter at the outlet.
This system (check one):
❑ does ❑ does not incorporate pretreatment other than a forebay.
Important maintenance procedures:
— Immediately after the wet detention basin is established, the plants on the
vegetated shelf and perimeter of the basin should be watered twice weekly if
needed, until the plants become established (commonly six weeks).
— No portion of the wet detention pond should be fertilized after the first initial
fertilization that is required to establish the plants on the vegetated shelf.
— Stable groundcover should be maintained in the drainage area to reduce the
sediment load to the wet detention basin.
— If the basin must be drained for an emergency or to perform maintenance, the
flushing of sediment through the emergency drain should be minimized to the
maximum extent practical.
— Once a year, a dam safety expert should inspect the embankment.
After the wet detention pond is established, it should be inspected once a month and
within 24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a
Coastal County). Records of operation and maintenance should be kept in a known set
location and must be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall
be repaired immediately.
BMP element:
Potentialproblem:
How I will remediate theproblem:
The entire BMP
Trash/debris is present
Remove the trash/debris.
The perimeter of the wet
Areas of bare soil and/or
Regrade the soil if necessary to
detention basin
erosive gullies have formed.
remove the gully, and then plant a
ground cover and water until it is
established. Provide lime and a
one -rime fertilizer application.
Vegetation is too short or too
Maintain vegetation at a height of
long.
a roximatel six inches
Form SW401-Wet Detention Basin O&M-Rev.4
jqj Cj[;1nvf14'L3
O C T 1 8 2010
BY:
Page 1 of 4

Permit Number:
(to be provided by DWQ)
Drainage Area Number
BMP element:
Potentialproblem:
How I will remediate theproblem:
The inlet device: pipe or
The pipe is clogged
Unclog the pipe Dispose of the
swale
sediment off -site.
The pipe is cracked or
Replace the pipe.
otherwise damaged
Erosion is occurring in the
Regrade the swale if necessary to
swale.
smooth it over and provide erosion
control devices such as reinforced
turf matting or riprap to avoid
future problems with erosion
The forebay
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design depth for
possible. Remove the sediment and
sediment storage
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Erosion has occurred.
Provide additional erosion
protection such as reinforced turf
matting or riprap if needed to
prevent future erosion problems
Weeds are present
Remove the weeds, preferably by
hand If pesticide is used, wipe it on
the plants rather than s ra in .
The vegetated shelf
Best professional practices
Prune according to best professional
show that pruning is needed
practices
to maintain optimal plant
health.
Plants are dead, diseased or
Determine the source of the
dying.
problem: soils, hydrology, disease,
etc. Remedy the problem and
replace plants Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary.
Weeds are present
Remove the weeds, preferably by
hand. If pesticide is used, wipe it on
the plants rather than spraying.
The main treatment area
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design sediment
possible Remove the sediment and
storage depth
dispose of it in a location where it
will not cause impacts to streams or
the BMP.
Algal growth covers over
Consult a professional to remove
50% of the area
and control the algal growth
Cattails, phragmites or other
Remove the plants by wiping them
invasive plants cover 50% of
with pesticide (do not spray)
the basin surface
REcF,xvP,D
OCT 1 8 2010
Form SW401-Wet Detention Basin O&M-Rev.4 BY: Page 2 of 4

Permit Number:
(to be provided by DWQ)
Drainage Area Number:
BMP element:
Potentialproblem:
How I will remediate theproblem:
The embankment
Shrubs have started to grow
Remove shrubs immediately.
on the embankment
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present
consult a professional to remove
beavers.
A tree has started to grow on
Consult a dam safety specialist to
the embankment
remove the tree.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair. if applicable)
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose
of the sediment off -site
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the local NC Division of
damage have occurred at the
Water Quality Regional Office, or
outlet.
the 401 Oversight Umt at 919-733-
1786
The measuring device used to determine the sediment elevation shall be such
that it will give an accurate depth reading and not readily penetrate into
accumulated sediments.
When the permanent pool depth reads 6.00 feet in the main pond, the
sediment shall be removed.
When the permanent pool depth reads 6.00 feet in the forebay, the sediment
shall be removed.
Sediment Removal
Bottom
BASIN DIAGRAM
(fill in the blanks)
Permanent Pool Elevation 22.00
16 00 Pe anen Pool
Volume Sediment Removal Elevation 16.00 Volume
15 00 ft Min -------------------------- ------------
Sediment Bottom Elevation 15.00 l-ft r
Storage Sedimei
Storage
FOREBAY MAIN POND
Form SW401-Wet Detention Basin O&M -Rev 4
L
1 0 2010
Page 3 of 4

Permit Number:
(to be provided by DWQ)
I acknowledge and agree by my signature below that I am responsible for the
performance of the maintenance procedures listed above. I agree to notify DWQ of any
problems with the system or prior to any changes to the system or responsible parry.
Project name: Shallotte Taco Bell
BMP drainage area number:
Print name: P, o ",,; , , 1110- W S
Address: 10191 Ramsey Street, Linden, NC 28304
Signature:^"-�
c
Date: /D —si in
Note: The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president
� %rnx�&' t) a Notary Public for the State of
County of t�: , do hereby certify that
�on,lle ti, %1M 44�-e(.)< personally appeared before me this //Y-/-,
day of (�/� �,e —/r , and acknowledge the due execution of the
forgoing wet detention basin maintenance requirements. Witness my hand and official
seal,
SEAL
My commission expires-_?—;0/6�:
Form SW40I-Wet Detention Basin O&M-Rev.4 OCT 1 8 2010
BY:
Page 4 of 4

r
DWQ USE ONLY
t Date Received
Fee Paid
Permit Number
D-
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 Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
2. Location of Project (street address):
City:Shatlotte County:Brunswick Zip28470
3. Directions to project (from nearest major intersection):
From the intersection of US Highway 17 and US Highway Business 17 (Main Street), head southwest on
US Business 17. Site will be located on the south side of Business 17 approximately 1,446 feet from intersection
4 Latitude 330 59' 2.34" N Longitude 78* 22' 3 20" W of the main entrance to the project.
II. PERMIT INFORMATION
1 a Specify whether project is (check one) ®New ❑Modification
b.If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: ❑Not Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
2. Specify the type of project (check one):
❑Low Density ®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: 11 ac of Disturbed Area
❑NPDES Industrial Stormwater 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•
Form SWU-101 Version 07Jun2010 Page I of 6
OCT 1 8 2010
BY:

I
III. CONTACT INFORMATION
1. 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: Family Foods, Inc
Signing Official & Title: Ronnie B. Matthews - President
b Contact information for person listed in item la above.
Street Address: 10191 Ramsey Street
City Linden State: NC Zip: 283M4 ?936-161
Mailing Address (if applicable)
City•
Zip•
Phone: ( 910 ) 323-9700 Fax: ( 910 ) 323-9700
Email. [e-mail]
c. Please check the appropriate box The applicant listed above is:
J0 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: R&S Matthews Properties LLC
Signing Official & Title: Ronnie B Matthews - Member/Manager
b Contact information for person listed in item 2a above:
Street Address: 10191 Ramsey Street
City Linden State: NC Zip:-28M4X.5(
Mailing Address (if applicable):
City
Phone: ( 910 ) 323-9700
Email [e-mail]
Zip
Fax: (910 ) 323-9700
3. a. (Optional) Print the name and title of another contact such as the projects construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization: Ben Goetz, PE
Signing Official & Title
b Contact information for person listed in item 3a above
Mailing Address: 10191 Ramsey Street
City Linden State: NC Zip: 283N a9351
Phone: (910 ) 323-9700
Email ben®ffinc.net
Fax: (910 ) 323-9700
4. Local jurisdiction for building permits- Town of Shallotte
Point of Contact: Allen Serkin Phone #: ( 910 ) 754-4032
FormSWU-101 Version07Jun2010 Page 2of6 0 P T 1 8 2010
u-

1
IV. PROJECT INFORMATION
1 In the space provided below, briefly summarize how the stormwater runoff will be treated
Storm water will be treated by a permenant wet pond to be constructed on site Storm water will be routed
through the forebay of the pond first
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 drams to the Lumber River basin.
4 Total Property Area 0 94 acres
5. Total Coastal Wetlands Area: acres
6. Total Surface Water Area- acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area*: 0.94 acres
Total project area shall be calculated to exclude the followmg the normal pool of imypou�nded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NfIIM line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MI� line. The resultant project area is used to
calculate overall percent built upon area (BUA). 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 = 64.8
9. How many drainage areas does the project have? 1 (For high density, count I for each proposed engineered
stormwater BMP. For low density and other projects, use I 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 _
Drainage Area _
Drainage Area _
Receiving Stream Name
Shattutt�r
Stream Class *
se*iQw-
Stream Index Number *
16-a5-aA5
Total Drainage Area (so
38,026
On -site Drainage Area (so
35,681
Off -site Drainage Area (so
2,345
Proposed Impervious Area** s
24,652
Impervious Area** total
648
Impervious— Surface Area
Drainage Area _
Drainage Area _
Drainage Area _
Drainage Area _
On -site Buildings/Lots (so
2,365
On -site Streets (so
On -site Parking (so
18,206
On -site Sidewalks (so
1,736
Other on -site (so
Future (so
Off -site (so
2,345
Existing BUA*** (sf)
Total (so:
1 24,652
* Stream Class and Index Number can be determined at http.//portal ncdenr or ebhoq(ps/csu/classificahons
** 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 ani e� zishi LA th t �
is to be removed and which will be replaced by new BUA. t`Ir
Form SWU-101 Version 07Jun2010 Page 3 of QCT 1 S 2010
ay.

11 How was the off -site impervious area listed above determined? Provide documentation. Area within right
of way as determined by physical topographic survey
Projects in Union County: Contact DWQ Central Office staff to check fthe 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 htW://portal.ncdenr.org/web/wq/ws/su/bmp-manual
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Water Quality (DWQ).
A complete package includes all of the items listed below. A detailed application instruction sheet and BMP
checklists are available from http://portal.ncdenr.org/web/wq/ws/su/statesw/forms_docs. 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.ncdenr.org/web/wq/ws/su/statesw/forms does.
Initials
1. Original and one copy of the Stormwater Management Permit Application Form SB
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 Sri
http / /www.envhelp org/pages/onestopexpress html 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 5
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 Sly
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
mile radius on the map
7 Sealed, signed and dated calculations. S3
8 Two sets of plans folded to 8 5" x 14" (sealed, signed, & dated), including 5i5
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.
In. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the MHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the MHW (or NHW) of tidal waters.
f. Dimensioned property/project boundary with bearings & distances.
l Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1 Details of roads, drainage features, collection systems, and stormwater control measures.
in. 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.,CY1�'"
o Drainage areas delineated (included in the main set of plans, not as a separate document)I "
p Vegetated buffers (where required). O c T 1 8 2010
Form SWU-101 Version 07Jun2010 Page 4 of 6
PY•

9. Copy of any applicable soils report with the associated SHWT elevations (Please identify S3
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and bormg logs. Include an 8 5"x11" 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 msit for DWQ to verify the SHVJT prior
to submittal, [phone] )
10 A copy of the most current property deed Deed book: 3089 Page No 1237 S3
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC 59
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 21-1.1003(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.
htW //www secretary.state nc us/Corporations/CSearch.as xx
VIL DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be provided
as an attachment to the completed and notarized deed restriction form The appropriate deed restrictions and
protective covenants forms can be downloaded from
http://portal ncdenr org/web/wq/ws/su/statesw/forms_docs. 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: C Scott Brown, PE
Consulting Firm: 4D Site Solutions, Inc
Mailing Address 409 Chicago Drive, Suite 112
City. Fayetteville State NC Zip: 28306
Phone: ( 910 ) 426-6777
Email: sbrown®4dsitesolutions.com
Fax: ( 910 ) 426-5777
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) Ronnie B. Matthews , certify that I
own the property identified in this permit application, and thus give permission to (print or h/pe name of person
listed in Contact Information, item la) Ronnie B. Matthews with (print or type name of organization listed in
Contact Information, item la) Family Foods, 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 07Jun2010 Page 5 of 6
C F,Y VED
OCT 1 8 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 Stormwater permit reverts back to
me, the property owner. As the property owner, it is my responsibility to notify DWQ immediately and submit a
completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater treatment
facility without a valid permit. I understand that the operation of a stormwater treatment facility without a valid
permit is a violation of NC General Statue 143-215.1 and may result in appropriate enforcement action including
the assessment of civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature /�] // .�� ��L[t.v-.--� s' Date /O -// 3 ;60
I, / lX l YlrA , , a Notary Public for the State of /U/lL�/Uitl u.,,,. County of
do hereby //certify that Rohni P {Mn-" u e , S personally appeared
before me this _a day of (96tdbe o .2o/U , and acknowledge the due execution of the application for
a stormwater permit. Witness my hand and official seal, �L16C /C ce%l�
%% III II/I'
% qP 1 TAY�° �✓
NO TARY
PUBLIC
ii COUNN a ��
X. APPLICANT'S CERTIFICATION
SEAL
My commission expires
I, (print or hjpe name of person listed in Contact Information, item la) Ronnie B. Matthews
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, SL 2006-246 (Ph II - Post Construction) or SL 2008-211.
.(5�14
Date. &-/,i—/o
I, (/e&6' A P a Notary Public for the State of A161 a /� tiL.. County of
do hereby certify that / 0 A Y1 ; 'C i� . IMG �e i k C personally appeared
before me this Qftday of a 4 N p a :20/D • and acknowledge the due execution of the application for
a stormwater permit.
Witness my hand and official seal, ALAA X�-�'64
0 J
,,111111II
��pP R Tq
o °9
NO TARy
PUBLIC
ac, .
C �
•�illl101�y1��
OMNI
My commission
Form SWU-101 Version 07Jun2010 Page 6 of 6
-R—zoi D
OCT 1 8 2010
�3Y;

�ttnur, Permit Nose SB'Izy /7
N CAQI,. (ro W pm ded by DWD)
027452
ion%Fg/WAHKCDEN
CAgUB
STORMWATERMANAGEMENTPERMITAPPLIQ0%,O-yc
401 CERTIFICATION APPLICATION FORM 10,16,
WET DETENTION BASIN SUPPLEMENT
This form must be filled out, printed and submitted
fie Required Items Checklist (Part IIQ must be printed, filled out and submitted along with all of the required information
I. PROJECT INFORMATION'
Protect name Shallotte Taco Bell
Contact person Scott Brown
Phone number 910-42Tr6777
Dale 13-0ct-10
Drainage area number 1
II! DESIGNIINFORMATIOW
Site Characteristics
Drainage area 38,026 ft2
Impervious area, post -development
% Impervious
Design rainfall depth
Storage Volume: Non -SA Waters
Minimum volume required
Volume provided
Storage Volume. SA Waters
1 5" runoff volume
Pre -development 1-yr, 24-hr runoff
Post -development 1-yr, 24-hr runoff
Minimum volume required
Volume provided
Peak Flow Calculations
Is the pmJpost control of the lyr24hrstorm peak flow required?
1-yr, 24-hr rainfall depth
Rational C, pre -development
Rational C, post -development
Rainfall intensity 1-yr, 24-hr storm
Pre -development 1-yr, 24-hr peak flow
Post -development 1-yr, 24-hr peak flow
PmJPost 1-yr, 24-hr peak flow control
Elevations
Temporary pool elevation
Permanent pool elevation
SH WT elevation (approx at the perm pool elevation)
Top of 108 vegetated shelf elevation
Bottom of 10fl vegetated shelf elevation
Sediment cleanout, top elevation (bottom of pond)
Sediment deanout, bottom elevation
Sediment storage provided
Is there additional volume stored above the state -required temp pool?
Elevation of the lop of the additional volume
Fomr SW401-Wet Detention Bann -Rev B-9117m9
24,652 Ill
54 83 %
15 in
2,984 ft
5,453 it'
y (Y or N)
37 In
Insufficient required volume
OK, volume provided is equal to or In excess of volume required
025 (un18ess)
072 (un18ess)
246 inthr OK
054 ft'Isec
154 ft'Isec
100 ft'fsec
2328 fmsl
2200 fmsl
2183 fmsl
2250 imsl
2150 fmsl Data not needed for calculation option #1, but OK it provided
1600 fmsl
1500 first Data not needed for calculation option #1, but OK If provided
100 ft
y (Y or N)
23 3 trust OK
1�CiEY�J�;t�
OCT 1 22010
BY:
Parts I a II Design Summary, Page 1 of 2

..f
S.iA�'Stl -
�Q Tr00 .

Permit No
(b be pmvbod by DWD)
1L DESIGWINFORMATION;
Surface Areas
Area, temporary pool
4,796 ft2
Area REQUIRED, permanent pool
2,913 If
SA/DA mho
7 66 (undless)
Area PROVIDED, permanent pool, Ap _p,
3,109 ft` OK
Area, bottom of 10ft vegetated shelf, Apa aen
1,656 ft
Area, sediment deanout, top elevation (bottom of pond), Aea-wa
1,483 ft
Volumes
Volume, temporary pool
5,453 fit'
OK
Volume, permanent pool, Vp -,d
11,674 ft"
Volume, forebay (sum of forebays If more than one forebay)
2,395 ft'
Forebay % of permanent pool volume
20 5% %
OK
SAIDA Table Data
Design TSS removal
90 %
Coastal SA/DA Table Used?
y (Y or N)
Mountain[Piedmonl SAIDA Table Used?
(Y or N)
SA/DA rabo
766 (undless)
Average depth (used in SAIDA table)
Calculation option 1 used? (See Figure 10-2b)
y (Y or N)
Volume, permanent pool, Vp ,d
11,674 ft'
Area provided, permanent pool, Ap _pw
3,109 ft'
Average depth calculated
375 It
OK
Average depth used in SAIDA, d.., (Round to nearest 0,5ft)
30 It
Insufficient Check calculation
Calculation option 2 used? (See Figure 10-2b)
n (Y or N)
Area provided, permanent pool, Ap, d
3,109 ft`
Area, bottom of 1 Oft vegetated shelf, Am a,
1,656 ft,
Area, sediment deanout, top elevation (bottom of pond), A,.,a
1,483 ft2
'Depth' (distance b/w bottom of 1 Oft shelf and top of sediment)
550 It
Average depth calculated
It
Average depth used in SA/DA, d,,, (Round to nearest 0 5ft)
If
Drawdown Calculations
Drawdown through onfice?
y (Y or N)
Diameter of onfice (d circular)
125 in
Area of onfice (if-non�ncular)
m2
Coefficient of discharge (Co)
0 60 (tintless)
Dining head (H.)
043 ft
Dmwdown through weir?
n (Y or N)
Wen type
(uni less)
Coefficient of discharge (C,)
(undless)
Length of weir (L)
It
Dining head (H)
it
Pre -development 1-yr, 24-hr peak flow
054 ft`/sec
Post -development 1-yr, 24-hr peak flow
005 fts/sec
Storage volume discharge rate (through discharge onfice or weir)
003 fts/sec
Storage volume dmwdown time
230 days
OK, draws down in 2-5 days
Additional Information
Vegetated side slopes
3 1
OK
Vegetated shelf slope
10 1
OK
Vegetated shelf width
100 If
OK
Length of flowpath to width mbo
4 1
OK
Length to width ratio
39 1
OK
Trash rack for overflow 8 onfice?
y (Y or N)
OK
Freeboard provided
10 It
OK
Vegetated filter provided?
n (Y or N)
OK
Recarded drainage easement provided?
y (Y or N)
OK
Capures all runoff at ultimate butdout?
y (Y or N)
OK
Drain mechanism for maintenance or emergencies is
pump out
Form SW401-Wet Detention Basm-Rev 8-9/17N9
Pans I a It Design Summary, Page 2 of 2
OCT 1 8 2010
BY:

Permit No
(to be provided by DWQ)
III. REQUIRENTEMSCHECKL'IST
Please indicate the page or plan sheet numbers where the supporting documentation can be found An incomplete submittal package will
result in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to
indicate the following design requirements have been met If the applicant has designated an agent, the agent may initial below If a
requirement has not been met, attach justification.
Page/ Plan
Initials
Slnreet No.
1 Plans (1" - 50' or larger) of the entire site showing
- Design at ultimate build -out,
- Off -site drainage (if applicable),
- Delineated drainage basins (include Rational C coefficient per basin),
- Basin dimensions,
- Pretreatment system,
- High flow bypass system,
- Maintenance access,
- Proposed drainage easement and public right of way (ROW),
- Overflow device, and
- Boundaries of drainage easement
S13
C-3 ,
2 Partial plan IV = 30' or larger) and details for the wet detention basin showing
- Outlet structure with trash rack or similar,
- Maintenance access,
- Permanent pool dimensions,
- Forebay and main pond with hardened emergency spillway,
- Basin cross-secbon,
- Vegetabon specification for planbng shelf, and
^
- Filter strip
3 Section view of the wet detention basin (1" = 20' or larger) shoving
- Side slopes, 31 or lower,
- Pretreatment and treatment areas, and
- Inlet and outlet structures
S \3
4. If the basin is used for sediment and erosion control during construction, clean out of the basin is specified
on the plans prior to use as a wet detention basin
S 13
Sep C 4� r-S
5 A table of elevations, areas, incremental volumes & accumulated volumes for overall pond and for forebay,
to verify volume provided.
S$
S •�
6 A construction sequence that shows how the wet detention basin will be protected from sediment until the
entire drainage area is stabilized
5 3
II \
AAg' k4
7 The supporting calculations
S f Ai1QAA 8 A copy of the signed and notarized operation and maintenance (0&M) agreement
9. A copy of the deed restrictions (if required)
S13 Akff,1 10 A soils report that is based upon an actual field inveshgabon, soil borings, and Infiltration tests County
soil maps are not an acceptable source of soils Information
OCT 1 >� 2010
Form SW401-Wet Detention Basin -Rev 8-9/17109 Part III Required Items Checklist, Page i of 1
BY:

MEMORY TRANSMISSION REPORT
TIME :11-03-'10 10:44
FAX NO.1 :910-350-2018
NAME :DENR Wilmington
FILE NO.
876
DATE
11.03
10:41
TO
: 8 919103239700
DOCUMENT PAGES
8
START TIME
11.03
10:41
END TIME
11.03
10:44
PAGES SENT
8
STATUS
OK
*** SUCCESSFUL TX NOTICE
9tam of No[Y6 Ca aad MNaturmtuv
Mpartmrnt of Env4v av{ al Rwourcm
WHmlaa[oo ReQloaal OfR1ee
d<verQcaw P.ei�d n, Governor FAX COVER 3I�E1' Dav F .4c�retary
Date: �/�J __3 �/� / No. Pegce (exol cover)
To: iC0/JA/G- �J%A'>fiL/�.Clc%Sy- F[vm: Jo Cromer
Co: �QT /may �O o��S / q G Phone: [phone]
_S4r-8 /o0 9/7
Y!/m�-�' i Ss ✓c �— /i.sio/ loamy i i>Ja
127 C64�nx1 �rwe Hxtv��slvn, WHmivxlon, NC 28905 � <910) �96-.921� - M Hquel Oppvp��n�ay AfelnnetNe Ammn Hmpanye�

State of North Carolina
Department of Environment and Natural Resources
Wilmington Regional Office
Beverly Eaves Perdue, Governor FAX COVER SKEET Dee Freeman, Secretary
Date: '/0 No. Pages (excl. cover):
To. xeDz l e /" ?W ea,) S From: Jo Casmer
Co: �Q/!1i�c/ /0als G. Phone:(91O)796-7336
Fax: 9/O '-3v7 7 �%o Fax: [phone]
Re.
j
127 Cardinal Drive Extension, Wilmington, NC 29405 0 [phone] a An Equal Opportunity Affirmative Action Employer

MEMORY TRANSMISSION REPORT
TIME :11-03-'10 10:46
FAX NO.1 :910-350-2018
NAME :DENR Wilmington
FILE NO.
877
DATE
11.03
10:41
TO
: 8 919104265777
DOCUMENT PAGES
8
START TIME
11.03
10:44
END TIME
11.03
10:46
PAGES SENT
8
STATUS
OK
*** SUCCESSFUL TX NOTICE **
State of Nort4 Cs,tsliva
Dsper{msnt v! @nvlry vt vad NeW rat Rarovrvw
WttmtaIItoa R<glov�t OMOe
Rwr/y Eav�a Pord vGwervor FAX COVH.R SJlEET Dn Fraea�aa�gJevrvgry
Oate'q�/3/�� 1 No. Pages (owl. cover)'
To: G� � �o TT ��CUirJ N Prom. Jo Cnatner T
Co: �J� s-/ TE �O �✓TJo ✓ g Phone: C9101096-7336
Rn J`iirG GGo-TrF Tie-!O ��//
_s'w9 /0091�
�i�/'f i'ss.i��— �e poi coP�✓ �'� ��i-G.
127 Ceedfnnl DAr� Hxmnnfo.4 Wifmmymm NC 28900 � (9)O)'1%-'12i5 � M BquW OpVO`tunity A1S1nns{Iva AOJoo Cn\p)OYer

State of North Carolina
Department of Environment and Natural Resources
Wilmington Regional Office
Beverly Eaves Perdue, Governor FAX COVER SHEET Dee Freeman, Secretary
Date: � 13/I D 1 No. Pages (excl. cover)
To:. /e. s�o T7 �,�o�/.✓ From: JoCasmer
Co: 7Q-D S� L/ 7i< SD Z61 o J S Phone: [phone]
Fax: 7 ' `T Z G .S 7 % % Fax: [phone]
Re: Sy4LLo-7-Tc- -7�10
f i'ssr��- `ia�d copy
127 Cardinal Drive Extension, Wilmington, NC 28405 a [phone] a An Equal Opportunity Affirmative Action Employer

;. \ 4D .SITE
SowTioNS, INC.
cN41NcERIN(; October 27, 2010
LAND
.SUPVLYIN C, NCDENR
CONSTRUCTION Attu. Chris Baker
LAYOUT 127 Cardinal Drive Ext
(;P5 SERVICES Wilmington, NC 28405
LAND
DEVELOPMENT RE: Storm Water Submittal
Shallotte T—dcK�BeIN!
Shallotte, North Carolina
Chris;
We are resubmitting the revised plan sheets for the Shallotte Taco Bell per your review letter dated
October 25, 2010. See summary of revisions below.
1) Overall dimensions have been provided on sheet C-3.1
2) Detail #5 on sheet C-7.3 was revised and a note added to refer back the pond cross section
within the profiles
3) Detail was revised to describe what each of the letters represented to clear up any confusion.
4) No action required.
I look forward to working with you on this project. If you have any questions or concerns, please
feel free to contact us.
Sincerely,
4D Site Solutions Inc.
Scott town
Professional Engineer
Enclosure
dog CLIICAC,O
DRIVE
SUITE 112
FAYETTEVILLE
NC 2aso6
PUONE
9lo 426-6777
fAx OCT 2 9 2010
glo 426-5777 'i

MEMORY
TRANSMISSION REPORT
TIME
:10-26-'10 09:57
FAX NO.1
:910-350-2018
NAME
:DENR Wilmington
FILE NO.
846
DATE
10.26 09:56
TO
: 8 919104265777
DOCUMENT PAGES
3
START TIME
10.26 09:56
END TIME
10 26 D�:57
PAGES SENT
3
STATUS
OK
SUCCESSFUL TX NOTICE **
ST. or Wort% CnrWlov
DOpYRY\OE< Or HOWIOameOt 000 NaW r0\ RsuorCOr
- W\Imtveto0 Rem\oOv\ OrAce
d�v�ry Esvts PSM✓a. Goxereoi FAX COY$R 58$$'l' DOr Hraswsw. smrotary
Date: /O/�F //� No. Pa See CoxoL covar�- '-
To. AGO TT �eO�cJ i.% Ftom_ Jo Calmar
Pax: C9101350-2p 4
\2> CarAlnrl [JAxO Exppna'wn. Wi\m\n�\nn. NC 26603 x (910) l%-Y219 � M Bq��nl Oppnm�n\b AfAe���Y�ve Aotton Hrnp\dyer

�- State of North Carolina
Department of Environment and Natural Resources
Wilmington Regional Office
Beverly Eaves Perdue, Governor FAX COVER SHEET Dee Freeman, Secretary
Date: /2/ /1'12 No. Pages (excl. cover).
To: Se-0 7-7- /,0 From. Jo Casmer
Co: 171,0 si TE Se Z a i-- O .d .S Phone: [phone]
Fax: �z rrO — s % 7 /7Fax: [phone]
Re.
s w 8l00 9i 7
/\ Pe dr. S •�-DI ado ; 'T.'o ,J ,.¢ G '.7 �i m.r �.'a .,%
127 Cardinal Drive Extension, Wilmington, NC 28405 • [phone] • An Equal Opportunity Affirmative Action Employer

MEMORY TRANSMISSION REPORT
TIME :10-26-'10 09:58
FAX NO.1-910-350-2018
NAME :DENR Wilmington
FILE NO.
845
DATE
10.26 09:55
TO
: 8 919103239700
DOCUMENT PAGES
2
START TIME
10.26 09:55
END TIME
9:58
PAGES SENT
2
STATUS
OR
*** SUCCESSFUL TX NOTICE
North Carolina Department of Environment and Natural Resources
Division of water Quality
9avarly Eavaa Partlua Golsen H 8ullln. Doe Frssmen
Govamor Director �_ 5aciatery
October 25, 2010
Ronnie, Matthawa, President
Famlly Food., Inc.
1010 1 Ramsay Streat
Linda., NC 28350
Subject: R..... t Tor Addltl onal Information
atcrmwator Pro V act No. SB 11009117
Sher/lotto-Ir... Uall
Rr newlck County
Dear Mr. Mg."In.ag p
APPI nit sin fo� ahallotta Taco l F]allaonl October a B, 20e0. Apparellm inrmwntdap n�ra9vlawaoftthatmlt
informatl on has dat",mined that the appllcatlon la not complete. The fo towing Information is needed
to ..t. a Me atormwatar ravlew-
1. Planes provide basic overall dfmanaions, Iangth~cllh, for the permanent pool elevation
for the atormwatar pond. Ramambar to Include the forebay dimension at the parmanent
Pool alsvation also.
2 Tha plan view of the atormwatar pond appears to corporate concrete retaining walla In
the pond design. Tha section view shown only a partition separating the fcrebay and
the .In
body of the pond. Please revise either the, pond plan view or section view to
accurately reflect the Imsnded pond design.
3. Please make, clear on the rinsr/orifice detail the elevation data. .... permanent pool
alavation la -D-, temporary pool alevatton is "a-7 Also orifice diamatar "C' is shown to
be, 1-1/2 Inches however the orifice, detail In ahows a 4 inch diameter P.P. with a 1-1/2
inch hole, drilled Into the cap. Pleas be accurate and clear.
4. Ths -ta9a storago a rtacs roan for the atormwatar pond and forabay differ betwasn
the caloulationn provided and whet in roported on the wet datentlon basin supplement
Pleaam correct the, proper documents and resubmit
Plaaaa note that thin raqmti uant for additional inforaon In In response to a preliminary, ra
vines. Tha
requested Information should be, received In this DMoe prior to November 2, 2010, or tho application
wiI
l be, returned as Incomplete. Tha return of a project will neceanitate re.ubmlttol of all required
Items. Including the application fan.
If you need addltlonsl time to submit the information, pleas mall, email or fax your request for a time
extension to the Divmion at the address and fax number at the bottom of this letter. Tha request must
Indicate the data by which you expect to submit the required information_ The, Division In allowed 90
days from the receipt of a complatad appllcatlon to laaua the permit.
iz a:.a�e oin'nw an.n.an, on �t�t
Inlemet ~ )BB.RIaNwlli prA-]Dnn• � C,�bnMe H�M1Iq' 12)r-0]3!)M 1�1� AC_aCOjl iva'
www �wwe bore rlV�rls�eri)3n

North Carolina
Beverly Eaves Perdue
Governor
October 25. 2010
Ronnie Matthews, President
Family Foods, Inc.
10191 Ramsey Street
Linden, NC 28356
w �
NCDENR
Department of Environment and
Division of Water Quality
Coleen H Sullins
Director
Subject: Request for Additional Information
Stormwater Project No. SW8 100917
Shallotte Taco Bell
Brunswick County
Dear Mr Matthews -
Natural Resources
Dee Freeman
Secretary
The Wilmington Regional Office received and accepted a State Stormwater Management Permit
Application for Shallotte Taco Bell on October 18, 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:
1. Please provide basic overall dimensions, length/width, for the permanent pool elevation
for the stormwater pond Remember to include the forebay dimension at the permanent
pool elevation also.
2. The plan view of the stormwater pond appears to corporate concrete retaining walls in
the pond design. The section view shows only a partition separating the forebay and
the main body of the pond. Please revise either the pond plan view or section view to
accurately reflect the intended pond design.
3 Please make clear on the riser/orifice detail the elevation data. i.e permanent pool
elevation is "D", temporary pool elevation is "E"'? Also orifice diameter "C" is shown to
be 1-1/2 inches however the orifice detail is shows a 4 inch diameter pipe with a 1-1/2
inch hole drilled into the cap Please be accurate and clear.
4. The stage storage surface areas for the stormwater pond and forebay differ between
the calculations provided and what is reported on the wet detention basin supplement.
Please correct the proper documents and resubmit.
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 November 2, 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.
Wilmington Regional Office One
Cardinal Drive Extension, Wilmington, North Carolina 28405 O
Phone [phone] FAX [phone]Customer Service 1-877.623-6748 �trrrullnCarolia
w Internet nmaterquality on3

Ronnie Matthews
October 25, 2010
Stormwater Application No SW8 100917
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 project 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 chris [e-mail].
Sincerely,
Chris Baker
Environmental Engineer II
GDS/csb S:\WQS\STORMWATER\ADDINFO\2010\100917 oct10
cc. Scott Brown, P E , 4D Site Solutions Inc.
Wilmington Regional Office Stormwater File
Page 2 of 2

�\ QD SITE
SOLUTI0N5. INC.
ENg1NEERING I October 15, 2010
LAND
SURVCYINC,
NCDENR
coN5TRUCTION
Attn: Janet Russell
LAYOUT
127 Cardinal Drive Ext
C,PS 5LPVICEb
Wilmington, NC 28405
LAND
DEVELOPMENT
RE: Storm Water Submittal
Shallotte Taco Bell
Shallotte, North Carolina
Janet;
IN
We are submitting the Shallotte Taco Bell storm water plan for express review. Please find enclosed
2 copies of the construction drawings, supporting calculations and check for $4,000.00. We are also
requesting that the erosion control plan have an express review as well which is covered by the
storm water review fee. There is a separate submittal for the erosion control package.
I look forward to working with you on this project. If you have any questions or concerns, please
feel free to contact us.
Sincerely,
D Site Solutions Inc.
Scott rown
Professional Engineer
Enclosure
409 C111C4C7O
DRIVE
SUITE 112
FAYETTEVILLE
NC 253o6
Pf7ONE
9lo 426-6777 '�j� yy��y� y Sri,
��y��l V a L
fAX [phone]' OCT 1 8 2010

4D SITE
SowTioNS. INC.
Shallotte Taco Bell Storm Water Narrative
CNSINLLPiNC;
LAND
SUPVCYINS Shallotte Taco Bell is a commercial development for a new fast food restaurant located on the south
coN5TRucTION side of US Highway 17 (Main Street) east of the intersection of Holden Beach Road and Main
LAYOUT Street.
G'P5 JC2 VICC5
The storm water generated from the development will be treated through the use of a wet pond
LAND located on the south side of the project site The wet and is designed in accordance with the latest
oCVCLOPM CNT P J P g
NCDENR BMP manual. The storm water is transported across the site through underground storm
drainage located throughout the new parking lot The storm water is released into the forebay of the
wet pond. The riser (outfall) for the pond contains slow releases that control the one year and ten
year storms. The ponds reduce the peak flow from the development to less than the predevelopment
flows for each of the storm events.
dog cuicAGo
DRIVC
SUIT;- 112
FAYCTTCVILLE
Nc 285o6
PNONC
910 426-6777
FAX + l._ )C, I V J6 D
910 426-5777
OCT 1 8 2010
BY

North Carolina Secretary of State
Page 1 of 2
Norlhi t arolrna.
ckafn'e' F Marshall DEPARTMENT OFTHE
Secretary SECRETARY Or STATE
PO &'a 2-%22 RaIva3k NG 2762-E-S-322 i919M7-2-XV
Date 10/13/2010
Click here to
View Document Filings I Sign Up for E-Notifications
'A� Print apre-populated Annual Report Form I Annual Report Count I File an Annual Report I
Corporation Names
Name
Name Type
NC FAMILY FOODS, INC
LEGAL
NC TAYLOR FOODS, INC
PREV LEGAL
Business Corporation Information
SOSID:
0147027
Status:
Current -Active
Effective Date:
12/17/1971
Dissolution Date:
Annual Report Due Date:
Citizenship:
DOMESTIC
State of Inc.:
NC
Duration:
PERPETUAL
Registered Agent
Agent Name:
MATTHEWS, SHARON T
Office Address:
10191 RAMSEY STREET
LINDEN NC 28356
Mailing Address:
PO BOX 87886
FAYETTEVILLE NC 28304
Principal Office
Office Address:
10191 RAMSEY ST
LINDEN NC 28356
Mailing Address:
P O BOX 87886
FAYETTEVILLE NC 28304
Officers
Title:
PRESIDENT
Name:
RON MATTHEWS
Business Address:
1046 BRAGG BLVD
FAYETTEVILLE NC 29301
Title:
VICE PRESIDENT
Name:
SHARON MATTHEWS
Business Address:
1046 BRAGG BLVD
FAYETTEVILLE NC 28301
Stock
Class Shares
No Par Value Par Value
OCT 1 8 2010
BY:
http://www.secretary.state.nc.us/corporations/Corp.aspx?Pitemld=4997233 10/13/2010

North Carolina Secretary of State Page 2 of 2
COMMON 100000 1
This website is provided to the public as a part of the Secretary of State Knowledge Base (SOSKB) system Version 156
�:c�xv��
OCT 1 8 2010
BY:�--
http.//www.secretary.state.nc.us/corporations/Corp aspx?Pitemld=4997233 10/13/2010

a
Illlllilllllllll.t,.11NlClR... 111 a3G.. P1237�p g 2
8runuick Cow tv. NC Reeasler e� Uaatls oaga 1 of 2
Brenda N. Clamvans Register of Deeds
10-Bt-2010 15-46:04.000 8rwsuack Cwnty, NC
NC REVENUE STRNP- $690 00 (0233252)
Total Rev L Qinl
Ck$_ Ck4y_1F2Cc>h$
Refund __ C=e � I _Finance
❑Potno >.,d.r n >t9Akj wJw awddpn
ofaqui.
❑ D=Mnt W fam� w'^'V oy0qg0a)
NORTH CAROLINA GENERAL WARRANTY DEED
STATE OF NORTH CAROLINA
COUNTY OF BRUNSWICK
THIS DEED, made this the /" day of DL+D�e,- , 2010, by and
between MILLIKEN & LEMON, INC., a North Carolina corporation, of 529
Sylvan Street, Shallotte, North Carolina 28470, party of the first part,
hereinafter referred to as Grantor, and R & S MATTHEWS PROPERTIES, LLC,
a North Carolina limited liability company, of 10191 Ramsey Street,
Linden, North Carolina 28356, party of the second part, hereinafter
referred to as Grantee;
W I T N E S S E T H:
THAT the Grantor, for a 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, its successors
and assigns, in fee simple, all that certain lot or parcel of land
situated in Lockwood Folly Township, Brunswick County, North Carolina,
and being more particularly described as follows:
BEING all of Parcel 1B, containing 40, 997.23 square feet (0.94
acres) , more or less, as more fully described in a survey plat
dated January 5, 2007 and revised September 27, 2010 entitled
"Recombination Plat Prepared For Milliken C, Lennon, Inc."
prepared by Davey G. Williamson, P.L.S., and recorded in Map
Cabinet 67 at Page 20 in the office of the Register of Deeds
for Brunswick County, North Carolina to which plat reference
is made and which is incorporated herein for greater certainty
of description of said property.
In accordance with NCGS Section 105-317.2, the mailing
addresses of Grantor and Grantee are as stated above. The
property herein conveyed does not include the primary
residence of Grantor.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all
privileges and appurtenances thereunto belonging to the Grantee in fee
simple.
AND the Grantor does hereby covenant with Grantee that Grantor is
seized of the premises in fee simple, that Grantor has the right to
convey the same in fee simple, that title is marketable and free and
clear of all encumbrances, and that Grantor will warrant and defend the
title against the lawful claims of all persons, whomsoever, subject to
the following exceptions:
-Utility easements of record.
-2010 ad valorem property taxes.
-Restrictive covenants of record, if any.
-Subject to that certain 251 easement for 301 turning radius
in favor of the adjacent owner as further described on the
above referenced map.
Prepared by: DAXLEYSMITHWICK PLLC, Attorneys at Law T7TC�1VF'—"
OCT 1 8'2010
BY:

IIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIII a�ass g1238��= a '�a
8rwsulek Ccu ty, NC Register of Deeds page 2 of 2
IN WITNESS WHEREOF, the O'rantor has caused this instrument to be
signed in its corporate name by its duly authorized officer by authority
of its Board of Directors, the day and year first above written.
MILL�IKENN & LENNON, INC. /1I
B5C
Sue C. W Scott, President
STATE OF NORTH CAROLINA
COUNTY OF BRUNSWICK
I, a Notary Public of the State and County aforesaid, hereby
certify that Sue C. Wescott personally came before me this day and
acknowledged that she is President of MILLIKEN & LENNON, INC., a North
Carolina corporation, and that she, as President, being authorized to do
so, executed the foregoing Deed on behalf of the corporation..
WITNESS my hand and official stamp or seal, this the J1-
day of
�2bp✓ 2010.
NOTARY UBLIC
My Commission Expires:
f1- 1 1'7.0 13 JEN »
NOTARY
C C T 1 2010

October 4, 2010
To Whom It May Concern:
R&S Matthews Properties, LLC hereby gives permission to Family Foods, Inc. to
perform grading operations on the property (DB3089, Page 1237) located along US
Highway 17 Business in Shallotte, NC for the construction of a new Taco Bell restaurant.
Signature
10/08/2010
Date
hJ�CEPCI c%>ED
OCT 1 8 2010
BY:

Southeastern Soil & Environmental Associates, Inc.
P.O. Box 9321
Fayetteville, NC 28311
Phone/Fax [phone]
Email [e-mail]
September 7, 2010
Mr Scott Brown
4D Site Solutions, Inc
409 Chicago Drive, Suite 112
Fayetteville, NC 28306
Re Hydraulic conductivity (permeability) analysis & seasonal water table determination
(SHWT) for stormwater retention pond, Shallotte Taco Bell, US Hwy 17 Business,
Brunswick County, North Carolina
Dear Mr Brown,
An evaluation of soil properties and hydraulic conductivity (Ksat) has been conducted at
your request on the aforementioned property The purpose of the investigation was to
determine soil water table depths In addition, Ksat was to be provided at varying depths
for use with bioretention pond design
Saturated hydraulic conductivity of the unsaturated zone was measured in a similar
method as described in the Soil Science Society of America Journal, Vol. 53, no 5, Sept -
Oct 1989, "A Constant Permeameter for Measuring Saturated Hydraulic Conductivity of
the Vadose Zone" and Comparison of the Glover Solution with the Simultaneous
Equations Approach for Measuring Hydraulic Conductivity "
Soils at this site are most similar to the Foreston soil series (see attached boring log) One
boring was advanced to 10 feet Seasonal High Water Table (SHWT) as determined by
evidence of colors of chroma 2 or less (and/or concentrations of high redox mottles) was
encountered at 26 inches below the ground surface (free water was encountered at 100
inches below the soil surface on the day of testing).
Two compact constant head permeameter (CCHP) tests were conducted at depths ranging
from 4 0 to 5 6 feet The Ksat measurement in the Bit horizon was 1 33 cm/hr The Ksat
measurement in the BC horizon was 6 59 cm/hr
OCI 1 9 2010
SOIUSITE EVALUATION • SOIL PHYSICAL ANALYSIS • LAND USEISUBDIVISION PLANNING
GROUNDWATER DRAINAGEIMOUNDING • SURFACE/SUBSURFACE WASTE TREATMENT SYSTEMS, EVALUATION 6 DESIGN

The attached map shows locations of sample points as well as Ksat locations. The
attached chart provides a list or measured rates at the pond location.
1 trust this is the information you require at this time.
Sincerely,
Mike Eaker
President
ED SOl(
ar;elro, F„
cn, YVEID
OCT 1 8 2010
BY:

Southeastern Soil & Environmental Associates, Inc.
P.O. Box 9321
Fayetteville, NC 28311
Phone/Fax [phone]
Email mike Osoutheastemsod.com
Measured Ksat Rates, Taco Bell, Shallotte, NC
Ksat Ksat
Location Depth in cm/hr in/hr
1 48 1.332 0.524
1 67 6.594 2.596
LOCT 1 8 2010
BY:� ---
SOIUSITE EVALUATION • SOIL PHYSICAL ANALYSIS • LAND USE/SUBDIVISION PLANNING
GROUNDWATER DRAINAGEIMOUNDING • SURFACE/SUBSURFACE WASTE TREATMENT SYSTEMS, EVALUATION 8 DESIGN

Southeastern Soil & Environmental Associates, Inc.
P.O. Box 9321
Fayetteville, NC 28311
Phone/Fax [phone]
Email [e-mail]
Typical Profile Description for Shallotte Taco Bell, US Hwy 17 Business
This neap unit consists of moderately well drained soils that formed in moderately coarse
textured sediment on uplands Slopes range from 0 to 2 percent
A - 0 to 4 inches, dark gray (1 OYR 4/1) loamy fine sand, weak medium granular structure,
very friable, common fine roots, clear wavy boundary
E - 4 to 1 I inches, yellowish brown (1 OYR 5/4) loamy fine sand, weak medium granular
structure, very friable, few fine roots, clear wary boundary.
Btl - 1 I to 22 inches, yellowish brown (10YR 5/6) fine sandy loam, weak fine subangular
blocky structure, very friable, gradual wavy boundary
Bt2 - 22 to 28 inches, yellowish brown (10YR 5/6) fine sandy loam; few medium distinct
light brownish gray (I OYR 6/2) mottles, weak fine subangular blocky structure, very
friable, gradual wavy boundary
Btg - 28 to 52 inches, light gray (1 OYR 7/2) fine sandy loam, common coarse distinct
yellow brown (1 OYR 5/8) mottles; weak fine subangular blocky structure, very friable,
gradual wavy boundary
BCg - 52 to 80 inches, light gray (I OYR 7/1) fine sandy loam that has strata of loamy sand
and small pockets of clean washed sand grains, common coarse distinct brownish yellow
(I OYR 6/8) mottles, weak fine subangular blocky structure, very friable; gradual wavy
boundary
Cg - 80 to 120 inches, dark gray (I OYR 2/1) loamy sand that has strata of sandy clay loam
and sandy loam, common medium distinct brownish yellow (1 OYR 6/6) mottles, massive,
very friable
SHWT a 26 inches (I OYR 6/2)
1�>vCJC�\%]ElC�
OCT 1 8 2010
BY:-
SOIL/SITE EVALUATION • SOIL PHYSICAL ANALYSIS • LAND USE/SUBDIVISION PLANNING
GROUNDWATER DRAINAGE/MOUNDING • SURFACE/SUBSURFACE WASTE TREATMENT SYSTEMS, EVALUATION 8 DESIGN

805 f?
C.
SOIUSITE EVALUATION • SOIL PHYSICAL ANALYSIS • LAND USE/SUBDIVISION PLANNING
GROUNDWATER DRAINAGEIMOUNDING • SURFACE/SUBSURFACE WASTE TREATMENT SYSTEMS, EVALUATION 8 DESIGN

71

SHALLOTTE TACO BELL
STORM WATER CALCULATIONS
\ i SEAL
027452
:� s NQINEEQ:y��'
�' IP" 16, to
OCT 1 8 2010
BY:

_ . 1
:CntC�
'ri

+4n 51TF-
5oLUTION,5, INC.
ENs,NEER,Ns I Shallotte Taco Bell
LANo
6u2VEYINC,
CON 6TQUCTION Drainage Area:
LAYOUT
(fP5 6LPVICE6 I 38,026 sf (0.87 acres)
LAND
PLVLLOPMENT Impervious Area: 24,652sf (0.57ac)
Impervious: 64.8%
1.5 inch Storm Event:
Rv = 0.05+0.009 I
Rv = runoff coefficient
I= percent impervious
Rv=0.05+0 009*64.8%
= 0.63
For volume that must be controlled:
Volume=3,630*Rd*Rv*A
Volume = 3,630*(1.5 inch)*(0.63)*0.87 acres = 2,984cf
Average Depth of Pond: 3.0
SA/DA ratio: 7.66
Surface Area Required. 2,903 sf
Surface Area Provided: 3,109sf
409 CIICAGa
ORIVL
611ITE n2
FAYETTEViLLE
NC 2as06
PUONE
910 426-6777
FAX
910 426-5777
" ia, C cj I V ra)
O C T 1 9 2010
BY:

Shallotte Taco Bell
.]L�11111 45 motel t' lli..
SCS curve number
1 drauiic Soil Group A
Area SCS CN
Buddmu(sD
-._65
5
Sidewalk (st)
1,736
98
Pavement (sf)
20,551
98
Open space (sf)
13,374
49
Oftsite -open space (st)
69
Total (sf)
38026
81
Total (ac)
087
Rational Coefficient
Post develooment
Area
C
Building (sf)
2,365
095
Sidewalk (sl)
1,736
095
Pavement (sf)
20,551
095
Open space (sf)
13,374
030
Ot)sne -open space (st)
040
Total (sf)
38026
072
Total (ac)
0 87
Shallotte Taco Bell Runoff coefficient cales xls
' CY✓Y�i]�L
ocT 1 s zoo
BY:
Printed 10/12/2010

Shallotte Taco Bell Pond #1
Drawdown Time
Temporary storage volume = 5453 cf
Orifice#I diameter= 125 in
# I
Area of orifice = 0 0085 sf
Orifice #2 diameter = 0 in
# I
Area of orifice = 0 0000 sf
Orifice Coefficient (Cd) = 060
Orifice elevation= 22 00 ft
Riser elevation= 23 30 ft
Driving head (H) = 043 ft
Discharge (Q) = 0 0270 cts
Drawdown time = 201849 s
56.1 hr
2_3 days
Shallotte Taco Bell pond drawdown time xls
RECUA
OCT 1 8 2010
BY:
Printed 10/12/2010

r
DATE
09-13-10
DESIGN PHASE
PRELIM / /
PROJECT NAME
Shalioae Taco Beli
PROJECT NO
542
CONSTR / x I
REVISION / /
LOCATION
Shallotte Nonh Carolina
BY
CSB
RECORD
OTHER L
CHECKED BY
(SPECIFY)
n=
0=
h=
0013
226
26
STORM DRAINAGE
SCHEDULE
CONTINUED --.
AREAS
INLET
INLET
AREA
AC
INLET
Cc
RUNOFF
COEFF
INLET
DISCHARGE
CFS
0
UPSTREAM
BYPASS
CFS)
INLET
BYPASS
CFS
CAPTURED
INLET
DISCHARGE
CFS
TOTAL
AREAS
AC
INLET
TIME
MIN
PIPE
TIME
MIN
Tc
TIME
OF CONIC
MIN
I
INTENSITY
INMR
Cc
RUNOFF
COEFF
FROM TO
CI4
C62
CI4
011
OBS
016
000
000
078k044
500
000
500
928
095
C62
J63
CF2
033
OBS
229
000
000
229
500
056
558
716
095
J63
PO4
JB-3
000
085
00a
000
000
000
500
094
5B4
707
095
CI-6
JB-3
CIE
015
095
104
000
000
10a
500
000
500
T2B
OBS
YI-5
CI-6
YI-5
003
O85
O10
000
000
014
003
500
000
500
729
065
I
I
I
5�ebe TeW BN Btam dYipeb 16Y Dtle lwY to Time 1151 M1 Pe9e1N4

• -
R '
DATE
09-13-10
DESIGN PHASE
ANALYSIS 1
PRELIM
/ /
(PROJECT NAME
ShalloRe Taco Bell
PROJECT NO
542
CONSTR
REVISION
LOCATION
Shallotte Noll Camllna
BY
CSB
RECORD
OTHER
% /
CHECKED BY
(SPECIFY)
n=
9=
h=
0013
226
25
STORM DRAINAGE SCHEDULE - CONTINUED
0
DISCHARGE
_(US) —
0
SIDE-
STREAM
CFS
SLOPE
DIA
IN
CAPACITY
(FULL)
�--(CFS)—�
VFULL
FPS
LENGTH
SEGMENT
TIME
(MIN
UPPER
INV
LOWER
INV
UPSTREAM
TOP
ELEV
FROM TO
CI-1
C62
070
000
00059
15
50
40
1 135A41
0513
22 D0
2120
2607
CI-2
I JB-3
299 000
414 Ila
00089
0W95
15
54
44
1 0095
1 D38
2120
2050
2527
JB-3
POD
15
170
138
1 4312
1 DD5
1500
1500
2622
118
OS
JB-3
00115
15
59
55
10455
1 031
2170
2050
2572
YI-5
C18
000
00079
10
1 9
36
M 27
021
2250
2215
2593
Q
O
N
>r~r
Sr�W
O
.^`AM
W
BN4oA i4m Brl 5blmDMe0=�41OYFA4 O @ 1041=10 TMe 1151AM P4p=3M4

•
•
•
DATE
OH-13-10
DESIGN PHASE
•
PRELIM / /
PROJECT NAME
Shallotte Taco BCII
PROJECT NO
642
CONSTR / X /
REVISION / I
(LOCATION
Shallotte North Camllna
BY
CSB
RECORD I I
OTHER I I
CHECKED BY
ISPECIF)
n=
p=
h=
o ols
225
26
HYDRAULIC GRADE LINE
PIPE HYDRAULIC SIDESTREA
AREA RADIUS SUMMATION
I CFS
Hf
He
aO DEG=OT
SO DEG-D 55
HEAD LOSS
He
BEND LOSS
Hh
K'S
30 DEG•028
15 DEG=D 10
Ht
BEND
LOSS
K
CONTINUED --�
FRICTION FRICTION
SLOPE VELOCITY
FT (FPS!I
FROM TO
CI-2
12272
03125
1 000
002
000
000
000
003
070
00001
062
CI-2
JB-3
12272
03125
000
022
002
003
001
028
010
00021
243
J&3
PO4
1292
03125
116
O16
004
006
005
033
028
00041
336
CI-6
JB-3
12272
03125
014
003
0DO
0OD
001
D05
070
0NO3
Dab
YI-5
CI-6
0515d
02083
0DO
0DO
ON
000
000
ODO
055
0MOD
026
BI T.BAS.DtY .. 16YEAR OM. ll I=IOi IISI" Pmg*3M4

STOR111 DIRARAGhlisifDRAILICe
DATE
09-13-10
DESIGN PHASE
ANALYSIS T
PRELIM L
PROJECT NAME
Shallotte Te. Bell
PROJEOTNO
542
CONSTR / X /
REVISION %//
�LOCATION
Shallotte North Catolma
BY
CSB
RECORD / /
OTHER / /
CHECKED BY
(SPECIFY)
n=
g=
h=
0013
226
26
HYDRAULIC GRADE LINE - CONTINUED
DESIGN CRITERIA
i DESIGN FOR THE 10 YR STORM
2 ASSUME TIME OF CONCENTRATION TO
AN INDIVIOUAL INLET= S MIN (Unless otewile noted)
3 INTENSITY= gJ(h-T), FOR 10 YR STORM
(9 end h were chinned ft. Relelgl,Dulhem interi
Duration -Frequency Cheds, REF NG Erosion and
Sediment Control Planning and Design Manuel)
4 MANNINGS'n' FACTOR- 0013
5 RUNOFF COEFICIENT Co•050(Pe DR-i IDT)
INLET W S ELEV
OUTLET OUTLET INLET USE
W S ELEV CONTOL CONTROL
F FT) (FT) (F
FLOW
CONDITION
CONTROL
FREE-
BOARD
_(. —
COMMENTS
FROM TO
I
1
1
CI.1 * CI-2
_I
24ii 2480
1 22 But 1 2480
OUTLET
12i
OK
CI.2 JL3
2449 2477
2415 2449
WATE
22 DB 24 T! OUTLET
1912 2449 OUTLET
SURFACE 2116
05D
OK
J&3 POI
173
OK
CIA
I J&3
2440 2454
2236
OUTLET
tie
OK
VI-5 CIA
2d 55
2292
2455 OUTLET
138
OK
O
O
N
^v
4m
CD
shoe, Taco Bel.—Crvup. ID-W. Doe td13/NIa T 1151 M1 Vini

Shallotte Taco Bell
Storm Water Pond Volumes
Volume above permanent pool
Contour Contour Incr Action Stage
Elev Area Storage Stomgc (S) (Z)
(a) (st) (ct) (cp (a)
21 9
-
-
-
220
3,109
155
155
010
225
4.796
1,976
2,132
060
23.0
4,796
2,398
4,530
110
23 5
4,796
2,398
6,928
1 60
240
4,796
2,398
9,326
2 10
24.5
4,796
2,398
11,724
260
250
4,796
2,398
14,122
3.10
Volume below permanent pool
Contour Contour Incr Accum Stage
Elev Area Storage Storage(S) (Z)
(tt) (st) let) (ct) (a)
16.0
1,895
-
-
16 5
1,895
948
948
050
170
1,895
948
1,995
1 00
175
1,895
948
2,843
1 50
180
1,895
948
3,790
200
18 5
1.895
948
4,738
250
190
1,895
948
5,685
3 00
195
1,895
948
6,633
3 50
200
1,895
948
7,580
400
205
1,895
948
8,528
450
21 0
1,895
948
9,475
500
21 5
1,895
948
10,423
550
220
3,109
1,251
11,674
600
Shallotte Taco Bell volumes vls O C T 1 8 2010 Printed 10/15/2010
BY:

Shallotte Taco Bell
Wet Pond 41
Antiflotation Calculation
Input Data
Safety Factor.
1 25
Top Width of Riser (ft)
400
Top Length of Riser (ft)
3 00
Thickness of Riser (ft)
050
Thickness of Bottom of Riser (ft)
050
Top of Riser (ft)
2420
Invert of Riser (ft)
21 90
Volume of Riser (cf)
1980
Unit Weight Of Concrete (Ib/cl)
150.00
Unit Weight of Water (lb/cf)
6240
Block Height (ft)l
0.00
Block Width (ft)
0.00
Block Length (ft)
000
Output
Fw (Uplift Force, lb)
1722.24
Fc (Weight of Concrete,lb)
2970.00
Design Volume (cf)
19 80
Design Safety Factor
1 72
Volume OK
Shallotte Taco Bell anttflotation.xls OCT j 8 2010 10/15/2010
BY:

D Site Solutions, Inc.
DESIGN REQUIREMENTS:
A Contain the 1 5 inch storm
Drainage Area, (DA) = 0.87 acres
Intensity, (1) = 2 46 mehes/hr
Composite Runoff Coefficient, (C) _> 025
0.54 cis
Shalloltc'Paco Bell Pond - Detention Pond Post -Development Runoff- I-vr
Drainage Area, (DA)= 0.87 acres
Intensity, (I) = 2 46 inchesAu
Composite Runoff Coefficient, (C) _> 072
Peak Release Rate, (Q,)=> 1 54 cfs
Contour Contour Incr Ace= Stage
Elev. Area Storage Storage (S) (Z)
(ft) (st) (cf) (cf) (ft) In (S) In (Z) Z est
219
-
-
-
-
-
22 0
3,109
155
155
010
505
-2 30
009
225
4,796
1,976
2,132
060
_
7 66
-0 51
067
23.0
4,796
2,398
4,530
1 10
842
010
120
235
4,796
2,398
6,928
160
8 84 -
047
165
240
4,796
2,398
9,326
2 10
914
074
207
245
4,796
2,398
11,724
260
937
096
247
250
4,796
2,398
14,122
3 10
956
1 13
2 84
Regression Output:
6= 1 31 (X Variable Coeff)
Ks= 3,576
Stage - Storage Equation 1s of the forth S = (KS)(Z)a
Saaliotte Taco Bell pone m ng (1 n north) Ada
prtNea aVl=Da 11g5PM
OCT 1 8 2010
BY:
Page 1 d 18

4D Site Solutions, Inc.
Primary Spillway
Bartel
Number of Barrels =
Out of Barrel =
Area of Barrel, (Ab) =
Pipe Length, (L) =
Friction Coeff,(Kp)=
Inv. of Barrel =
Riser
Elev. of Riser Crest
Rectangular
Length Weir— 24 inches
Total Weir Length=
Area of Riser =
Orifice in Riser
Out of Orifice=
Number of Onfices =
Area of Onfice, (Ab) _
Orifice Coefficient (Cd) _
Inv of Orifice=
Dia of Orifice=
Number of Orifices =
Area of Orifice, (Ab) _
Orifice Coeliieient (Cd)=
Inv of Orifice=
Width of Spillway (Approx) _
Weir Coefficient =
Crest Elevation =
Maximum Release Rate, (Qi) _
Release Rate, (Q,) =
Normal Water Surface Elev. =
Water Surface Elev Oa Outlet (Q�)=
SM1OW. Taco aeH pond m ,o Kst.�)Ne
Width Weir —
1
24 inches
3 14 sf
650 feet
001058
21 90 feet
23 30 feet
36 inches
10 00 feet
6 00 sq ti
125 inches
I
001 sf
060
22.00 feet
2 000 inches
0
0.02 sf
060
22 00 feet
20 feet
33
500 feet
054 cis
005 cis
22 00 feet
printed 1D1'=1o01115AM
23.28 feet
F
T 18 2010
Pepe 2 ei 16

41) Site Solutions,
Inc.
WOMMSHM
Peak Inflow, (Qp)=>
1 54 cfs
Time to Peak Calculation
CN=
81
P= 3 70 in S= 235 in
Q'=
1 87
in (depth of mnoR)
Vol=
5,912
cf (vol of runoff)
Time to Peak, (Tp) _>
46 0 minutes
(SCS TR-55)
rum
cfs
000
0 000
0
000
004
0 005
2
001
0.09
0 019
4
003
0 13
0 041
6
006
0 17
0 073
8
Oil
022
0112
10
017
026
0 159
12
024
030
0212
14
033
035
0.270
16
0.42
039
0333
18
051
043
0 398
20
0.61
048
0 466
22
072
052
0 534
24
082
057
0 602
26
093
061
0 667
28
1.03
065
0 730
30
1 12
070
0 788
32
1.21
074
0.841
34
1 30
078
0.888
36
1.37
083
0 927
38
1.43
087
0 959
40
1 48
091
0 981
42
1.51
096
0 995
44
153
100
1000
46
154
1 04
0 995
48
1 53
1 09
0 981
50
1.51
1 13
0 959
52
148
1 17
0 927
54
143
1 22
0 888
56
1 37
1 26
0 843
58
1 30
1 30
0 796
60
1 23
1 35
0 753
62
1.16
1 39
0 711
64
110
1 43
0 672
66
1 04
1 48
0 635
68
098
1 52
0 600
70
0.92
1 57
0 567
72
087
1 61
0 536
74
083
1 65
0 507
76
078
1 70
0.479
78
074
1 74
0 452
80
0 70
1 78
0 428
82
066
1 83
0 404
84
062
SM1 HMl Taws fl ponem ng(1 KMe.)Me
o- i Zoto
pIMeE 1N1}12p101195 AM
BY:
Page 3 W 16

D Site Solutions, Inc.
1 87
0 382
86
059
191
0 361
88
056
1 96
0 341
90
053
200
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92
050
204
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94
047
209
0 288
96
044
2 13
0 272
98
042
2 17
0 257
100
040
222
0 243
102
037
226
0 230
104
035
230
0217
106
033
235
0205
108
032
239
0194
110
030
243
0 183
112
028
248
0 173
114
027
252
0 164
116
025
257
0 155
118
024
261
0 146
120
023
265
0138
122
021
270
0 130
124
020
274
0 123
126
0 19
278
0 117
128
0 18
283
0110
130
017
287
0 104
132
0 16
291
0 098
134
0 15
296
0 093
136
0 14
300
0 088
138
0 14
304
0 083
140
0 13
309
0 078
142
0 12
3 13
0 074
144
0 11
3 17
0 070
146
0 11
322
0 066
148
0 10
326
0 063
150
0 10
330
0 059
152
009
335
0 056
154
0.09
3 39
0.053
156
008
343
0 050
158
008
348
00,47
160
0.07
3 52
0 045
162
007
3 57
0 042
164
006
361
0 040
166
006
3.65
0 038
168
006
370
0 036
170
005
374
0 034
172
0.05
378
0.032
174
0.05
3.83
0 030
176
005
3.87
0 028
178
004
3.91
0 027
180
004
396
0 025
182
0014
400
0 024
194
004
4.04
0 023
186
003
4.09
0.021
188
0.03
4 13
0 020
190
003
4 17
0 019
192
003
422
0 018
194
003
426
0 017
196
003
430
0 016
198
002
435
0 015
200
002
439
0 014
202
002
443
0 014
204
002
448
0013
206
002
452
0 012
208
002
457
0011
210
002
461
0011
212
002
465
0010
214
002
470
0010
216
001
0009
218
SWINIa Taw Ben pone mWnp(i>,4.1wnf.la
pnmee 1Oil MOlo I Unla
OCT 1 ✓1 2010
BY:
Pepe a of 18

4D Site Solutions,
Inc.
4.78
0 009
220
001
4.83
0 008
222
001
487
0 008
224
001
491
0 007
226
001
496
0 007
228
001
500
0 007
230
001
504
0 006
232
001
5.09
0 006
234
001
5.13
0 006
236
001
5.17
0 005
238
001
5.22
0 005
240
001
5 26
0 005
242
001
5 30
0.004
244
001
5.35
0 004
246
001
5.39
0.004
248
001
543
0 004
250
001
5.48
0 004
252
001
5.52
0 003
254
001
5 57
0 003
256
000
5.61
0.003
258
0.00
5.65
0.003
260
000
5 70
0 003
262
000
5 74
0 002
264
000
5.78
0 002
266
000
5.83
0 002
268
000
587
0 002
270
000
591
0 002
272
000
5.96
0 002
274
000
600
0.002
276
000
604
0 002
278
0.00
609
0 002
280
000
6.13
0 002
282
000
6 17
0 001
284
000
622
0 001
286
000
626
0 001
288
000
630
0 001
290
0.00
635
0.001
292
000
639
0.001
294
0.00
643
0 001
296
0.00
6.48
0 001
298
000
652
0 001
300
0.00
6.57
0 001
302
000
661
0 001
304
000
665
0 001
306
0.00
670
0 001
308
000
674
0.001
310
0.00
678
0 001
312
000
683
0 001
314
000
6.87
0 001
316
000
691
0001
318
000
6.96
0 001
320
000
700
0 000
322
000
704
0 000
324
000
709
0 000
326
000
7 13
0 000
328
000
7_17
0 000
330
000
7.22
0.000
332
000
726
0 000
334
000
730
0 000
336
0.00
h.c`:CTFJ\%jC,iD
fi Iletle Taw Bell pw I ,(t,ala.)tla Port" 1011motottu" OCT 1 8 20t0 Pepe 5 of 16
BY:

735
0 000
338
000
739
0 000
340
000
743
0.000
342
0.00
748
0 000
344
000
752
0 000
346
000
757
0 000
348
000
761
0 000
350
000
765
0 000
352
0.00
770
0 000
354
000
774
0.000
356
000
778
0 000
358
000
783
0 000
360
000
787
0 000
362
000
791
0 000
364
000
796
0 000
3,66
000
goo
0 000
368
000
804
0 000
370
000
809
0 000
372
000
8 13
0 000
374
000
8 17
0 000
376
000
822
0 000
378
000
826
0 000
380
000
830
0 000
382
000
835
0 000
384
000
839
0 000
386
000
844
0 000
388
000
848
0 000
390
000
852
0 000
392
000
857
0 000
394
000
861
0 000
396
000
865
0 000
398
000
870
0 000
400
000
874
0 000
402
000
878
0 000
404
000
883
0 000
406
000
887
0 000
408
000
891
0 000
410
000
896
0 000
412
000
9.00
0 000
414
000
904
0 000
416
000
909
0 000
418
000
9 13
0 000
420
000
9 17
0 000
422
000
922
0 000
424
000
9.26
0.000
426
000
930
0 000
428
000
935
0000
430
000
939
0 000
432
000
9.44
0 000
434
000
948
0 000
436
000
9.52
0 000
438
000
957
0.000
440
000
961
0 000
442
000
9.65
0 000
444
000
9 70
0 000
446
000
9.74
0 000
448
000
978
0 000
450
000
9.83
0 000
452
000
9.87
0 000
454
000
991
0 000
456
000
996
0 000
458
000
1000
0.000
460
000
1004
0 000
462
000
1009
0 000
464
000
10 13
0 000
466
000
10 17
0 000
468
000
0 22�1
0 000
470
o10/01=1011
Shaw a Te Beg oee0 roiemq w
p 1m 65M
i,-CmVZD
OCT 1 S 2010
Page 6.116

1) Site Solutions, Inc.
1026
0 000
472
000
1030
0 000
474
000
1035
0 000
476
000
1039
0 000
478
000
1044
0 000
480
000
1048
0 000
482
000
1052
0 000
484
000
1057
0 000
486
000
1061
0 000
488
000
10.65
0 000
490
000
10.70
0 000
492
000
1074
0 000
494
000
10.78
0 000
496
000
1083
0 000
498
000
1087
0 000
500
000
1091
0 000
502
000
10.96
0 000
504
000
I 1 00
0 000
506
000
11 04
0 000
508
000
1109
0.000
510
0.00
it 13
0000
512
000
11 17
0 000
514
000
11 22
0 000
516
000
11 26
0 000
518
000
1 130
0 000
520
000
11 35
0 000
522
000
11 39
0 000
524
000
11 44
0 000
526
0.00
11 48
0 000
528
000
11 52
0 000
530
000
11 57
0 000
532
000
11 61
0 000
534
000
11 65
0 000
536
000
11 70
0 000
538
000
11 74
0 000
540
000
11 78
0 000
542
000
11 83
0 000
544
000
11 87
0 000
546
000
11 91
0 000
548
000
11 96
0 000
550
000
1200
0 000
552
000
1204
0 000
554
000
1209
0 000
556
000
12.13
0 000
558
000
12.17
0 000
560
000
1222
0 000
562
000
1226
0 000
564
000
1230
0 000
566
000
1235
0 000
568
000
1239
0 000
570
000
1244
0 000
572
000
12.48
0 000
574
000
1252
0 000
576
000
1257
0 000
578
000
12.61
0 000
580
000
1265
0 000
582
000
1270
0 000
584
000
12 74
0 000
586
000
12.78
0 000
588
000
1293
0 000
590
000
1287
0 000
592
000
1291
0 000
594
000
1296
0 000
596
000
1300
0 000
598
000
1304
0 000
600
000
1309
0 000
602
000
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0000
604
O1w1mg1o1166M1
s IoUa Tarn 9eu we tummy(I>
Paned
1 c e •'� V YiPi
OCT 1 8 2010
BY:
Page ] of 16

D Site Solutions, Inc.
13 17
0 000
606
0010
1322
0 000
608
000
1326
0 000
610
000
1330
0 000
612
000
1335
0 000
614
000
1339
0 000
616
0,00
1344
0 000
618
000
1349
0 000
620
000
1352
0 000
622
000
1357
0 000
624
000
1361
0 000
626
000
1365
0 000
628
000
1370
0 000
630
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1374
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632
000
13 78
0 000
634
000
13 83
0 000
636
000
13.87
0 000
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0 000
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0 000
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000
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676
000
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0 000
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000
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0 000
684
000
1491
0 000
686
000
1496
0 000
688
000
1500
0 000
690
000
15.04
0 000
692
000
1509
0 000
694
000
15 13
0 000
696
000
15 17
0 000
698
000
1522
0 000
700
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Shallotte Taco Bell
Inflow / Outflow Hydrograph
1-yr Storm Event
f
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0 00----r—:-
0 40 80 120 160 200 240 280 320 360 400 440 480 520 560 600 640 680 720 760 800 840 880 920 960 10001040
Time (min)
1-$ INFLOW
--m- OUTFLOW

For DEN se 0/N'/po' 10 M 1
Rene r y l ] _
Aj`L& North Carolina Department of Environment and Sena O- ( z
Natural Resources a �: co
NCDENR Request for Express Permit Review (, T
Confirm W 3 a
FILL-IN all the information below and CHECK the Permiti you are requesting for express review. FAX or Email the completed form to Express
Coordinator along with a completed DETAILED narrative, site plan fPDF file) and vicinity map (same items expected in the application package
of the Droiect location. Please include this form in the apolication package.
• Asheville Region -Alison Davidson 828-296.4698;alison.davidson((Dncdenr.gov
• Fayetteville or Raleigh Region -David Lee 919-791-4203; david.lee(a2ncdenr.gov
• Mooresville & -Patrick Grogan 704-663-3772 or patnck.grogan(a),ricdencgov
• Washington Region -Lyn Hardison 252-946.9215 or lyn.hardison(a)ncdenr.gov
• Wilmington Region -Janet Russell 910-350-2004 or janetrussell(@ncdenr.gov
NOTE Project application received after 12 noon will be stamped in the following work day.
Enter Related SW
Permits of request
SW
SW
SW
SW
SW
- —I
tt- A
Q>rss i t*\
Project Name SHALLOTTE TACO BELL County BRUNSWICK
Applicant BEN GOETZ, PE Company FAMILY FOODS. INC .43�ty
Address 10191 RAMSEY STREET City LINDEN, State NC Zip 28304-_
Phone [phone], Fax, 910-323-9 000, Email, ben@ftinc net
Physical Location'4464 MAIN STREET, SHALLOTTE, NC
Project Drains into SHALLOTTE RIVER waters — Water classification SC.HQW (for classification see-htlp l/h2o enr state Ric us/bimslreports/reportsWB Ir m0
Project Located in LUMBER River Basin Is project draining to class ORW waters? N , within Y2 mile and draining to class SA waters N or within 1 mile and
draining to class HOW waters? N
Engineer/Consultant SCOTT BROWN PE Company 4D SITE SOLUTIONS, INC 7BY:-7
Address 409 CHICAGO DRIVE, SUITE 112 City FAYETTEVILLE, State NC Zip 28306-_
Phone [phone], Fax [phone], Email sbrown(a)4dsitesolutions com
SECTION ONE: REQUESTING A SCOPING MEETING ONLY
❑ Scoping Meeting ONLY ❑ DWQ, ❑ DCM, ❑ DLR, ❑ OTHER
SECTION TWO: CHECK ONLY THE PROGRAM (S) YOU ARE REQUESTING FOR EXPRESS PERMITTING
❑ 401 Unit ❑ Stream Origin Determination _ # of stream calls — Please attach TOPO map marking the areas inquestions
❑ Intermittent/Perennial Determination _ # of stream calls — Please attach TOPO map marking the areas in questions
❑ 401 Water Quality Certification ❑ Isolated Welland (_linear ft or _acres)
❑ Riparian Buffer Authorization ❑ Minor Variance ❑ Major General Variance
® State Stormwater ❑ General ❑ SFR, ❑ SFR < 1 ac ❑Bkhd & Bt Rmp, ❑ Clear & Grub, ❑ Utility ❑ Other
❑ Low Density ❑ Low Density -Curb & Gutter _ # Curb Outlet Swales ❑ Off -site [SW _ (Provide permit #)]
® High Density -Detention Pond 1 # Treatment Systems ❑ High Density -Infiltration _ #Treatment Systems
❑ High Density -Bio-Retention _ # Treatment Systems ❑ High Density —SW Wetlands _ # Treatment Systems
❑ High Density -Other _ # Treatment Systems / El MOD ❑ Major ❑ Minor ❑ Plan Revision ❑ Redev Exclusion SW (Provide permit #)
❑ Coastal Management ❑ Excavation & Fill ❑ Bridges & Culverts ❑ Structures Information
❑ Upland Development ❑ Marina Development ❑ Urban Waterfront
❑ Land Quality ❑ Erosion and Sedimentation Control Plan with _ acres to be disturbed (CK # (for DENR use))
SECTION THREE — PLEASE CHECK ALL THAT IS APPLICABLE TO YOUR PROJECT (for both scoping and express meeting request►
Wetlands on Site ❑ Yes ® No
Wetlands Delineation has been completed. ® Yes ❑ No
US ACOE Approval of Delineation completed ❑ Yes ® No
Received from US ACOE ❑ Yes ® No
For DHNR use only
Fee Solit for multlole oermits: (Check# 1
Buffer Impacts ® No ❑ YES, —acre(s)
Isolated wetland on Property ❑ Yes ® No
404 Application in Process w/ US ACOE ❑ Yes ® No Permit
SUBMITTAL DATES
Fee
SUBMITTAL DATES
Fee
CAMA
$
Variance (❑ Maj; ❑ Min)
$
SW (❑ HD, ❑ LD, ❑ Gen)
$
40t:
$
LDS
$
Stream Deter—
$
NCDENR EXPRESS March 2009

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4 D S ITE
S OL UTI ONS , INC.
Shallotte Taco Bell Storm Water Narrative
Shallotte Taco Bell is a commercial developmentfor a new fast food restaurant located on the south
side of US Highway 17 (Main Street) east of the intersection of Holden Beach Road and Main
Street.
The storm water generated from the development will be treated through the use of a wet pond
located on the south side of the project site. The wet pond is designed in accordance with the latest
NCDENR BMP manual. The storm water is transported across the site through underground storm
drainage located throughout the new parking lot. The storm water is released into the forebay of the
wet pond. The riser (outfall) for the pond contains slow releases that control the one year and ten
year storms. The ponds reduce the peak flow from the development to less than the predevelopment
flows for each of the storm events.

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Russell, Janet
From:
Scott Brown [sbrown@4dsitesolutions com]
Sent:
Wednesday, September 29, 2010 5 24 PM
To:
Russell, Janet
Cc:
Ben Goetz
Subject:
RE Shallotte Taco Bell express review
Attachments:
Shallotte_wanity_map prig, Shallotte Taco Bell storm narrative doc, Shallotte Taco Bell
express review application doc, Shallotte Taco Bell site plan pdf
Janet,
I have attached the documentation requesting the express review submittal meeting Please let me know if you need
additional data I have also supplied available times for the meeting
Anytime on the following days - October 5-7, 11-14
Scott Brown, PE
4D Site Solutions, Inc.
sbrown(a)4dsitesol utions.com
From: Russell, Janet [mailto:[e-mail]]
Sent: Monday, August 30, 2010 2:46 PM
To: Scott Brown
Subject: RE: Shallotte Taco Bell express review
Scott:
I have attached some information for your review related to Express Permitting. When you email me the Express
Request to set up a meeting, please include a pdf site plan, a project narrative, and a vicinity map with road names.
Also, include 3 or 4 dates / times that you and your client are available to meet (not all in the same week).
Dan Sams with the Land Quality Section suggested that I let you know— if DOT is requiring you to build a turn lane for
the Taco Bell, the proposed land disturbance for the turn lane will need to be included in the total land disturbance for
the project. The turn lane will also need to be shown on the stormwater plan.
Remember that the stormwater design requirements are different in the coastal counties per the 2008 coastal rules.
Please let me know if you need additional information.
Thank you,
Janet
Janet M. Russell
Express Coordinator
910 796-7421
Email correspondence to and from this address is subject to Public Records Law and may be disclosed to third parties

From: Scott Brown [mailto:[e-mail]]
Sent: Monday, August 30, 2010 2:11 PM
To: Weaver, Cameron
Cc: Russell, Janet
Subject: RE: Shallotte Taco Bell express review
No it is not part of a previously permitted SW plan I will try and call Janet
Scott Brown, PE
4D Site Solutions, Inc.
sbrown(a)4dsitesol utions.com
From: Weaver, Cameron [mailto:[e-mail]]
Sent: Monday, August 30, 2010 1:46 PM
To: Scott Brown
Cc: Russell, Janet
Subject: RE: Shallotte Taco Bell express review
Hi Scott
Is it part of a previously permitted SW plan?
Janet Russell coordinates the Express Review process and I serve as her back-up as needed. She has a packet of info that
she sends out to applicants/consultants who want to use the program and I am copying her on this reply. She can be
reached at lanet.Russell@ncdenr eov or 910-796-7421. She will go over your situation with you to determine what SW
permit you need and when you can look to get on the review schedule. Janet will be in touch if you don't reach her
today.
Let me know if I can be of further assistance or if there are any other issues.
Cameron
Cameron Weaver
1-Stop Permit Coordinator / Express Permitting
NCDENR / Division of Environmental Assistance and Outreach (DEAD)
127 Cardinal Drive
Wilmington, NC 28405
910-796-7427
(F) 910-350-2004
NOTE NEW EMAIL ADDRESS: [e-mail]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Scott Brown [mailto:[e-mail]]
Sent: Monday, August 30, 2010 1:38 PM
To: [e-mail]
Subject: Shallotte Taco Bell express review
Cameron,
I have an express review that I am interested in for storm water on a new Taco Bell in Shallotte The site is less than 1
acre but it is my understanding that it will still require a permit Can you give me the ins and outs on the express review
option?

thanks,
Scott Brown, PE
4D Site Solutions, Inc.
409 Chicago Drive, Suite 112
Fayetteville, NC 28306
Phone: [phone] ext. 102
Fax: [phone]
Cell: 910.489.6731
[e-mail]

1463 04/0712010 12 0s PM CA201011600099
LIMITED LIABILITY COMPANY
ANNUAL REPORT
NAME OF LIMITED LIABILITY COMPANY R&S Matthews Properties, LLC
STATE OF INCORPORATION NC
SECRETARY OF STATE L L.0 10 NUMBER' 580871
NATURE OF BUSINESS Real Estate
REGISTEREDAGENT Ronnie B. Matthews
REGISTERED OFFICE MAILING ADDRESS P O BOX 87886
Fayetteville
SOSID: 0580871
Date Filed: 4/26/2010 1:42:00 PM
Elaine F. Marshall
North Carolina Secretary of State
CA201011600099
FEDERAL EMPLOYER ID NUMBERrlvacy Redaction
NC 28304
REGISTERED OFFICE STREET ADDRESS 10191 Ramsey Street
Linden NC 28356
Cumberland
SIGNATURE OF THE NEW REGISTERED AGENT'
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
PRINCIPAL OFFICE TELEPHONE NUMBER 910-323-9700
PRINCIPAL OFFICE MAILING ADDRESS- P O BOX 87886
Fayetteville NC 28304
PRINCIPAL OFFICE STREET ADDRESS: 10191 Ramsey Street
Linden NC 28356
MANAGERS/MEMBERSIO RGAN IZERS.
Name. Ronnie B. Matthews
Title, Member/Manager
Name:
Title,
Name,
Title*
Address 10191 Ramsey Street
city, Linden State NC zip 28356
Address:
City: State. Zip,
Address
City State. Zip
CERTIFICATION OF ANNUAL REPORT MUST BE COMPLETED BY ALL LIMITED LIABILITY COMPANIES
y- � na K �L/2 0
FORM MUST BE SIGNED VY A MANAGER/MEMBER DATE
/
TYPE OR PRINT NAME TYPE OR PRINT TITL
ANNUAL REPORT FEE, $200 MAIL TO: Secretary of State 0 Corporations Division 0 Post Office Box 29525 0 Raleigh, NC 27626-0525

02/08/2001 17:24 FAX [phone] <POYtiER & 9PRUILL LLP>
SOSID: 580871
State of North Carolina Date Filed: 2/14/2001 7:55 AM
Department of the Secretary of State Elaine F. Marshall
North Carolina Secretary of State
I
�✓ G' �� �' �� Limited Liability Company
ARTICLES OF ORGANIZATION
Pursuant to §57C-2-20 of the General Statutes of North Carolina, the undersigned does hereby
submit these Articles of Organization for the purpose of forming a limited liability company.
1. The name of the limited liability companyW. R R S Matthews Properties, LLC
2. If the limited liability company is to dissolve by a specific date, the latest date on which the
limited liability company is to dissolve: (Ifno date for dissolution is spewed there shall
be no limit on the duration of the limited liability company.)
3. The name and address of each person executing these articles of organization is as
follows: (State whether each person is executing these articles of organization in the
capacity of a member, organizer or both).
Ronnie B. Matthews Sharon Olivia Taylor Matthews
1046 Bragg Blvd. 1046 Bragg Blvd.
Fayetteville, NC 28301 Fayetteville, NC 28301
Member and Manager Member and Manager
4. The street address and county of the initial registered office of the limited liability
company is:
Number and Street 1046 Bragg Blvd.
City, State, Zip Code Fayetteville, NC 28301 County Cumberland
5. The mailing address ifdi fferent fro►n the meet address of the initial registered office is:
Same
6. The name of the initial registered agent is: Ronnie B. Matthews
Check one of the following:
❑ W Member -managed LLC: all members by virtue of their status as members
shall be managers of this limited liability company.
® 00 Manager -managed LLC: except as provided by N.C.G.S_ Section 57C-3-
20(a), the members of this limited liability company shall not be managers by virtue of
their status as members.
8. Any other provisions which the limited liability company elects to include are attached.

1 02/06/2001 17:24 FAX [phone] <POYNER & SPRUILL LLP> 0004
9. These articles will be effective upon filing, unless a date and/or time is specified:
This is the 7 f day of Fe ," , 2001
Signature
Ronnie R. Matthews, Member/Manager
Type or Prfnr Name and 7Yde
Signature
Sharon Olivia Taylor Matthews, Member/
Manager
ype or Print —Name an�Title
NOTES:
1. Filing The Is $125. This document and one exact or conformed copy of these articles mast be filed with
the Seactuy of State.
(Revised Jmmuary 2000 (Form L01)
CORPORATIONS DIVISION P.O. Box 29622 RALEIGH, NC 27626-0622