SW8110206_CURRENT PERMIT_20210901

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO
SW8 11020-p
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
202t Oolo 1
YYYYMMDD
t

ROY COOPER
Governor
ELIZABETH S BISER
NORTH CAROUNA
Fj.vb" wnWt Quattty
September 1, 2021
Black's Tire Service, Inc
Arm Ricky Benton 11, Vice President
P O Box 919
Whiteville, NC 28472
Subject: Permit Renewal
State Stormwater Management Permit No SW8 110206
Black's Tine Shallotte
Brunswick County
Dear Mr Benton
Effective August 1, 2013 the State Stormwater program has been transferred from the Division of Water Quality
(DWQ) to the Division of Energy, Mineral and Land Resources (DEMLR) All previous references to DWQ will
remain in older stormwater permits issued prior to August 1, 2013 until they are modified Please note that this permit
will now reference DEMLR as the Division responsible for issuance of the permit
The Wilmington Regional Office received a complete 8 year Stormwater Management Permit Renewal Application for
the subject project on August 16, 2021 The Division is hereby notifying you that permit SW8 110206 has been
renewed on September 1, 2021, and shall be effective until February 28, 2029 For your records, please find enclosed
a renewed, updated, and re -issued pernut and a copy of the renewal application Please keep this permit on file at"
times Please note that the renewed, updated, and re -issued permit does not impose new or different terms, it merely
restates some of the previous terms to provide you with a better understanding of your obligations under the permit.
The renewal and reissuance of this stormwater permit does not imply that the site is currently in compliance with the
terms and conditions of thus state stormwater permit The plans originally approved on February 28, 2011 will remain
in full force and effect in accordance with the regulations set forth in Title 15A NCAC 2H 1000
This permit is subject to the conditions and limitations as specified therein Please pay special attention to the
conditions listed in this permit regarding the Operation and Maintenance of the BMP(s), recordation of deed
restnctions, procedures for changes of ownership, transfemng the permit, and renewing the permit Failure to establish
an adequate system for operation and maintenance of the stormwater management system, to record deed restrictions,
to transfer the permit, or to renew the permit, will result in future compliance problems
If any pans, requirements, or limitations contained in this permit are unacceptable, you have the right to request an
adjudicatory hearing by filing a written petition with the Office of Administrative Hearings (OAH) The written
petition must conform to Chapter 150B of the North Carolina General Statutes, and must be filed with the OAH within
thirty (30) days of receipt of this permit You should contact the OAH with all questions regarding the filing fee (if a
filing fee is required) and/or the details of the filing process at 6714 Mail Service Center, Raleigh, NC 27699-6714, or
via telephone at 919-431-3000, or visit their websrte at www NCOAH corn Unless such demands are made this permit
shall be final and binding
If you have any questions, need additional copies of the permit or approved plans, please contact Ashley Smith in the
Wilmington Regional Office, at [phone] or ashleym smith@ncdenr gov
Sincerely,
5�; Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
D North Carolina Department of Environmental Quality I Devi n of Energy mneral and Land Resources
Wilmington Regionai Office 1127 Cardmal Drive Extenvon I Wihnmgton North Carolina 28405
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Enclosures
DES/ams
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State Stormwater Permit No SW8 110206
Page 2 of 2
Attachment C — Permitting History
Renewal Application Documents
\\\Stormwater\Permits & Pmjects\2011\I 10206 HD\2021 09 permit 110206
Wilmington Regional Office Stotmwater File
D Q�� mm North Carolina ion Department of27 Cardinal D l Quality on I Wilmington
of Energy MineNorth
al and Land Resou ces
WRmingtan Regional Office R7 Cardinal Drive Extension I Wi6nmgton North Carolina 28405
9107967215

State Stormwater Management Systems
Permit No SW8 110206
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
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
Black's Tire Service, Inc
Black's Tire
2650 Ocean Highway West, Shallotte, Brunswick County
FOR THE
construction, operation and maintenance of one 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 Energy, Mineral and
Land Resources (the "Division" or "DEMLR") and considered an enforceable part of this permit
This permit shall be effective from the date of issuance until February 28, 2029, 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
This stormwater system has been approved for the management of stormwater runoff as
described in Section 17 on page 2 of this permit The stormwater control has been designed to
handle the runoff from 35,362 square feet of impervious area There are 17,753 square feet of
impervious area developed prior to 1988 This area is not required to be treated
A 50' wide vegetative buffer must be provided adjacent impounded structures streams, rivers
and tidal waters
The tract will be limited to the amount of built -upon area indicated on page 2 of this permit, and
per approved plans The built -upon area for the future development is limited to 0 square feet
Page 1 of 5

State Stormwater Management Systems
Permit No SW8 110206
All stormwater collection and treatment systems must be located in either dedicated common
areas or recorded easements The final plats for the project will be recorded showing all such
required easements, in accordance with the approved plans
The runoff from all built -upon area within the permitted drainage area(s) of this project must be
directed into the permitted stormwater control system
The following design criteria have been provided in the wet detention pond and must be
maintained at design condition
a
Drainage Area, acres
1 28
Onsite, ft2
55,868
Offsite, ft2
0
b
Total Impervious Surfaces, ft2
35,362
Onsite, ft2
35,362
Offsite, ft2
0
c
Design Storm, inches
1 5
d
Average Pond Design Depth, feet
40
e
TSS removal efficiency
90%
f
Permanent Pool Elevation, FMSL
355
g
Permanent Pool Surface Area, ft2
3,537
h
Permitted Storage Volume, ft3
4,823
1
Temporary Storage Elevation, FMSL
365
J
Pre-dev 1 yr-24 hr discharge rate, cfs
1 35
k
Controlling Orifice
1 03"0 pipe
I
Orifice flowrate, cfs
014
m
Permitted Forebay Volume, ft3
1,457
n
Fountain Horsepower
N/A
o
Receiving Stream/River Basin
Sharron Creek / Lumber
p
Stream Index Number
15-25-2-9-(2)
q
Classification of Water Body
"SC, HQW'
II SCHEDULE OF COMPLIANCE
1 The stormwater management system shall be constructed in its entirety, vegetated and
operational for its intended use prior to the construction of any built -upon surface
2 During construction, erosion shall be kept to a minimum and any eroded areas of the system
will be repaired immediately
3 The permittee shall at all time provide the operation and maintenance necessary to assure the
permitted stormwater system functions at the design condition 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
a Access to the outlet structure must be available at all times
Page 2 of 5

State Stormwater Management Systems
Permit No SW8 110206
4 Records of maintenance activities must be kept and made available upon request to
authorized personnel of the Division The records will indicate the date, activity, name of
person performing the work and what actions were taken
5 Decorative spray fountains will not be allowed in the stormwater treatment system because the
permanent pool volume is less than 30,000 cubic feet
6 The facilities shall be constructed, operated and maintained in accordance with the provisions
of this permit, the approved plans and specifications, and the supporting documents attached
to this permit and on file with the Division
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 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
11 No person or entity, including the permittee, shall alter any component shown in the approved
plans and specifications Prior to the construction of any modification to the approved plans,
the permittee shall submit to the Director, and shall have received approval for modified plans,
specifications, and calculations including, but not limited to, those listed below For changes to
the project or SCM that impact the certifications, a new or updated certi ication(s), as
applicable, will be required and a copy must be submitted to the appropriate DEQ regional
office upon completion of the modification
a Any modification to the approved plans and specifications, regardless of size including
the SCM(s), BUA, details, etc
b Redesign or addition to the approved amount of BUA or to the drainage area
c Further development, subdivision, acquisition, lease or sale of any, all or part of the
protect and/or property area as reported in the approved plans and specifications
d Altering, modifying, removing, relocating, redirecting, regrading, or resizing of any
component of the approved SCM(s), the stormwater collection system and/or
vegetative conveyance shown on the approved plan
e The construction of any allocated future BUA
f The construction of any permeable pavement, #57 stone area, public trails, or
landscaping material to be considered a permeable surface that were not included in
the approved plans and specifications
g Other modifications as determined by the Director
12 Prior to transfer of the permit a file review and site inspection will be conducted by Division
personnel to ensure the permit conditions have been met and that the project and the on -site
stormwater system complies with the permit conditions Any items not in compliance must be
repaired, replaced restored, or resolved prior to the transfer Records of maintenance activities
performed to date may be requested
Page 3 of 5

State Stormwater Management Systems
Permit No SW8 110206
III GENERAL CONDITIONS
1 Any individual or entity found to be in noncompliance with the provisions of a stormwater
management permit or the requirements of the stormwater rules is subject to enforcement
procedures as set forth in NCGS 143 Article 21
2 The issuance of this permit does not preclude the permittee from complying with and obtaining
any other permits or approvals that are required for this development to take place, as
required by any statutes, rules, regulations, or ordinances, which may be imposed by any
other Local, State or Federal government agency having jurisdiction Any activities undertaken
at this site that cause a water quality violation or undertaken prior to receipt of the necessary
permits or approvals to do so are considered violations of NCGS 143-215 1, and subject to
enforcement procedures pursuant to NCGS 143-215 6
If the facilities fail to perform satisfactorily, the permittee shall take immediate corrective
actions This includes actions required by this Division and the stormwater rules such as the
construction of additional or replacement on -site stormwater systems These additional or
replacement measures shall receive a permit from the Division prior to construction
4 Permit Transfer This permit is not transferable to any person or entity except after notice to
and approval by the Director The permittee shall submit a completed and signed "Permit
Transfer Application Form" (available on the Division website) accompanied by the required
fee and supporting documentation as listed on the form, to the Division at least 60 days prior
to any one or more of the following events
a The sale or conveyance of the project area in whole or in part, except in the case of an
individual lot sale that is made subject to the recorded deed restrictions and protective
covenants,
b Dissolution of the partnership, corporate, or LLC entity, subject to NCGS 55-14-05 or
NCGS 57D-6-07 and 08,
c Bankruptcy,
d Foreclosure, subject to the requirements of Session Law 2013-121,
5 Current Permittee Name or Address Changes The permittee shall submit a completed
"Permit Information Update Application Form" (available on the Division website) to the
Division within 30 days to making any one or more of the following changes
a A name change of the current permittee,
b A name change of the project,
c A mailing address change of the permittee,
6 The permittee is responsible for compliance with all terms and conditions of this permit until
the Division approves the transfer request Neither the sale of the project, in whole or in part,
nor the conveyance of common area to a third party constitutes an approved transfer of the
permit
7 The permittee grants Division Staff permission to enter the property during normal business
hours to inspect all components of the permitted project
8 The permit issued shall continue in force and effect until the permittee files a request with the
Division for a permit modification, transfer, renewal, or rescission, however, these actions do
not stay any permit conditions
9 Approved plans, application documents, supplements, calculations, operation and
maintenance agreement, and specifications for this project are incorporated by reference and
are enforceable parts of the permit A copy of this permit, application, supplements, operation
and maintenance agreement, and approved plans and specifications shall be maintained on
file by the permittee
10 Unless specified elsewhere, permanent seeding requirements for the on -site stormwater
system must follow the guidelines established in the North Carolina Erosion and Sediment
Control Planning and Design Manual
Page 4 of 5

State Stormwater Management Systems
Permit No SW8 110206
11 The issuance of this permit does not prohibit the Director from reopening and modifying the
permit revoking and reissuing the permit, or terminating the permit for cause as allowed by the
laws, rules, and regulations contained in Title 15A NCAC 2H 1000 and NCGS 143-215 1 et al
12 A permit renewal request must be submitted at least 180 days prior to the expiration date of
this permit The renewal request must include the appropriate application, documentation and
the processing fee as outlined in Title 15A NCAC 02H 1045(3)
Permit renewed, updated and reissued this the 1st day of September 2021
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
lJti1.�VM�o �wJCX
Brian Wrenn, Lirector
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 5 of 5

Attachment C - Permitting History
Blacks Tire- Shallotte
Permit No SW8 110206
Approval
Date
Permit
Action
RIMS
Version
Description of the Changes
2/28/2011
Original
Approval
1 0
9/l/2021
Renewal
20

6UA
PennitNumber 1\0010(6
(to be provided by DWQ)
Drainage Area Number ',1
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 mmimized 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 in
within 24 hours after every storm event greater than 10 inches (or 15 inch7knowj�
Coastal County) Records of operation and maintenance should be kept inlocation and must be available upon request n 8 2011
Inspection activities shall be performed as follows Any problems that are
be repaired immediately -
BMP element
Potential problem
How I will remediate the problem
The entire BMP
Trash debris is present
Remove the trash debris
The perimeter of the wet
Areas of bare soil and/or
Regrade the soil if necessary to
detention basin
erosive gullies have formed
remove the gully, and then plant a
ground cover and water until it is
established Provide lime and a
one-time fertilizer application
Vegetation is too short or too
Maintain vegetation at a height of
long
approximately six inches
Form SW401-Wet Detention Basin O&M -Rev 4 Page 1 of 4

Permit Number
(to be provided by DWQ)
Drainage Area Number
BMP element
Potential problem
How I will remediate the problem
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 peshcrde is used, wipe it on
the plants rather than spraying
The vegetated shelf
Best professional practices
Prune according to best professional
show that pruning is needed
practices
to maintain optimal plant
health
Plants are dead, diseased or
Determine the source of the
dying
problem soils, hydrology, disease,
etc Remedy the problem and
replace plants Provide a one-time
fertilizer application to establish the
ground cover if a soil test indicates
it is necessary
Weeds are present
Remove the weeds, preferably by
hand If pesticide is used, wipe it on
the plants rather than spraying
The main treatment area
Sediment has accumulated to
Search for the source of the
a depth greater than the
sediment and remedy the problem if
original design sediment
possible Remove the sediment and
storage depth
dispose of it in a location where it
will not cause impacts to streams or
the BMP
Algal growth covers over
Consult a professional to remove
50% of the area
and control the algal growth
Cattails, phragmites or other
Remove the plants by wiping them
invasive plants cover 50% of
with pesticide (do not spray)
the basin surface
a{ECEIV ED
AN 2 8 201
Form SW40I-Wet Detention Basin O&M -Rev 4

r
Permit Number
(to be provided by DWQ)
Drainage Area Number
BMP element
Potential problem
How I will remediate the problem
The embankment
Shrubs have started to grow
Remove shrubs immediately
on the embankment
Evidence of muskrat or
Use traps to remove muskrats and
beaver activity is present
consult a professional to remove
beavers
A tree has started to grow on
Consult a dam safety specialist to
the embankment
remove the tree
An annual inspection by an
Make all needed repairs
appropriate professional
shows that the embankment
needs repair if applicable)
The outlet device
Clogging has occurred
Clean out the outlet device Dispose
of the sediment off -site
The outlet device is damaged
Repair or replace the outlet device
The receiving water
Erosion or other signs of
Contact the local NC Division of
damage have occurred at the
Water Quality Regional Office, or
outlet
the 401 Oversight Unit at 919-733-
1786
The measuring device used to determine the sediment elevation shall be such
that it will give an accurate depth reading and not readily penetrate into
accumulated sediments
When the permanent pool depth reads 28 50 feet in the main pond, the
sediment shall be removed
When the permanent pool depth reads 28 50 feet in the forebay, the sediment
shall be removed
Sediment Removal
2850
---------------
FOREBAV
BASIN DIAGRAM
ill in the blanks)
-ft Min
Sediment
Storage
Permanent Pool Elevation 35 50
Pool
Sediment Removal Elevation 2850 Volume
------------ ----------- ----
Bottom Elevation 27 50 1 1-ft
JAN 2 8 2011
Storage
Form SW401-Wet Detention Basin O&M -Rev 4
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 party
Project name Black's Tire
BMP drainage area number
Print name Ricky James Benton
Title Owner
Address PO Box 919 Whiteville, NC 28472
fJRiTi1
SignE
Date
Note The legally responsible party should not be a homeowners association unless more than 50% of
the lots have been sold and a resident of the subdivision has been named the president
1, D?6omo N k Mt&py-soy , a Notary Public for the State of
NOA' N 64-01-y10. , County of C-o`ttrnbu s , do hereby certify that
w
personally appeared before me this_
day of JOMue, ap I t and acknowledge the due execution of the
forgoing wet detention basin maintenance requirements Witness my hand and official
seal,
•
BAH K 440"o"=
q, y ,
o e^ =
o T/ y 90
�=
coi, °
SEAL
JAN 2 8 2011
My commission expiresa� (a` p o o
�< KA(-f V�&LA'
Form S W40I-Wet Detention Basin O&M -Rev 4 Page 4 of 4

UCMLK Ubt UNL7
-� Date Re
eived
Fee Paid
Permit Number
35 =
Sul oab(o
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER
PERMIT RENEWAL APPLICATION FORM
In accordance with 15A NCAC 2H 1045(3), the current permit holder shall renew their high density permit 180 days
pnor to its expiration Renewed permits are valid for a period of 8 years per Session Law 2011-398 (SB 781)
Section 60 (c) This application form is for permit renewals only
A PROJECT INFORMATION
I
1 State Stormwater Permit Number SW8 W0206
2 Project name
3 Project street address 2650 Ocean Hwy W
City ;
28470
County Brunswick ZIP
4 What, if any changes have been made to the project as permitted? no changes
If the project has changed from the original approved plans please complete SWU-101 for a Major
Modification or Minor Modification Application form available at https //deg nc gov/abouUdivsions/energv-
minera I-land-resources/ene rgv-mineral-land-rules/stormwater-grog ram/post-construction
B PERMITTEE INFORMATION
If changes to the permittee or project name have been made please complete either the Permit Update form
or the Permit Transfer form available at https //deg nc gov/abouUdwisions/energy-mineral-land-
resources/energy-mineral-land-rules/stormwater-program/post-construction State Stormwater Permits do not
automatically transfer with the sale of the property
1 Current Permit Holder's Company Name/Organization Black's Tire Service Inc
2 Signing Officials Name Ricky Benton II
3 Signing Officials Title Vice President
4 Mailing Address PO Box 919
City Whiteville State NC ZIP 28472
5 Street Address 30 Bitmore Rd
City Whiteville State NC ZIP 28472
6 Phone [phone] Email rickvCGDblackstire com
AUG 16 2021 ;I
BY—
Stormwater Permit Renewal Form Page 1 of 3 May 11 2018

C SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office (Coastal SA Waters) or DEMLR
Central Office (Urbanizing Areas Ph 2 USMP Non -Coastal HQW/ORW Only applications packages that
include all required items listed below will be accepted and reviewed
Initial each item below to indicate that the required information is provided in the application package
rbrb 1 A permit application processing fee of $505 00 payable to NCDEQ
One original signed hard copy and one electronic copy of this completed form The signing official
named on this application to represent the current permittee must meet one of the following
Corporation — a principle executive officer of at least the level of vice-president,
b Limited Liability Company (LLC) — a manager or company official as those terms are defined
in G S 57D North Carolina Limited Liability Company Act '
c Public Entity — a principal executive officer ranking official or other duly authorized employee
d Partnership or limited partnership — the general partner
e Sole proprietor, or
f Letter of authorization signed by one of the signatories noted in a — e above authorizing the
signature of another entity
3 One hard copy and one electronic copy of recorded documents required by the original permit that
have not yet been received by DEMLR, including deed restrictions protective covenants,
condominium/planned community declaration and easements If the project has been built, include
documentation that the maximum BUA per lot or maximum total BUA has not been exceeded If
the project has not been built, include a signed agreement that the final recorded deed restrictions
and protective covenants will be submitted at a later date
4 O&r Agreements Please select one
j� I have a copy of the current recorded O&M Agreement for all SCMs and I will continue to
keep this on file with the permit, or
❑ I do not have a copy of the current recorded O&M Agreement for all SCMs and am
requesting a copy be sent to me I agree to keep this on file with the permit
5 D�esi9ner Certifications Please select one
[� A copy of the certification(s) confirming that the project was built in accordance with the
approved plans have been previously provided to the Division, or
❑ A copy of the certification(s) confirming that the project was built in accordance with the
approved plans are enclosed, or
/ El The project has not yet been built
✓ 6 [IF APPLICABLE] If the project has been built one original hard copy and one electronic copy of a
signed, sealed, and dated letter from a licensed professional stating that the SCMs have been
/ inspected, and that they have been built and maintained in accordance with the permit
✓ 7 [IF APPLICABLE] When the permittee is a corporation or a limited liability corporation (LLC)
Provide one hard copy and one electronic copy of documentation from the NC Secretary of State
or other official documentation, which supports the titles and positions held by the persons listed in
Section C 2 per 15A NCAC 2H 1043(3)(b)
AUG 16 2021
By_
Stormwater Permit Renewal Application Form Page 2 of 3 May 11 2018

n
D PERMITTEE'S CERTIFICATION
I, i 1 C V 13EA;6Y) , the person legally responsible for the permit certify that I have
a copy of thd Permit and O&M Agreement on site (or I will obtain a copy and it will be kept on site) that I am
responsible for the performance of the maintenance procedures, and the site has been and will be maintained
according to the O&M Agreement and approved plans I agree to notify DEMLR of any problems with the SCMs
or built -upon areVaplet
it the proper for to modify or transfer the permit prior to any changes to the
protect. SCMs, oAll i ormah ed on this permit renewal application is to the best of my
knowledge corre
Signature Date �d 2,1
NOTARIZATION n 1 /
I, xeso_ Q 6J r'rl..3e� a Notary Public for the State of
Nor i CLrolia..-, County of ("bI LLry"_bUS , do hereby certify
forgoing instrument Witness my hand and official seal
My commission expires
personally appeared before me
20 21 and acknowledge the due
AUG 16 Z029 q ;J
BY�
Stormwater Permit Renewal Application Form Page 3 of 3 May 11 2018

Permit No',��((
(to be pmveed by DWQ)
T
ap W A TF9
02 OG
r
NCDENR
�
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be filled out printed and submitted
The Required
Items Checklist (Pad llq must be printed filled out and submitted along with all of the required information
llqPRVJECTiINFORMATIONNNEMNUZRMMRWM
Prolect name
Blacks Tire
Contact person
Chris Russell PE
Phone number
910-232-0692
Date
11/40010
Drainage area number
2
117DESIGNI IN FORMATION
Site Characteristics
Drainage area
Impervious area post -development
% impervious
Design rainfall depth
Storage Volume Non SA Waters
Minimum volume required
Volume provided
Storage Volume SAWaters
15 runoff volume
Pre-developmentI yr 24 hr runoff
Post -development 1 yr 24 hr runoff
Minimum volume required
Volume provided
Peak Flow Calculations
Is the prelpost control of the lyr 24hr storm peak flow required?
1 yr 24 hr rainfall depth
Rational C pre -development
Rational C post -development
Rainfall intensity 1 yr 24 hr storm
Pre -development 1 yr 24 hr peak flow
Post -development 1 yr 24 hr peak flow
Pre/Post 1 yr 24 hr peak Flow control
Elevations
Temporary pool elevation
Permanent pool elevation
SHWT elevation (approx at the perm pool elevation)
Tap of 10ft vegetated shelf elevation
Bottom of 1Oft vegetated shelf elevation
Sediment cleanout top elevation (bottom of pond)
Sediment cleanout bottom elevation
Sediment storage provided
Is there additional volume stored above the state required temp pool?
Elevation of the top of the additional volume
55 868 112
35 362 ft2
6330 %
15 in
4 327 ft3
4 823 it'
N (Y or N)
36 in
OK
OK volume provided is equal to or in excess of volume required
019 (unitless)
064 (unitless)
015 mlhr OK
135 ft3lsec
455 ft3lsec
320 ft3lsec
3650 fmsl
3550 fmsl
35 00 find
3600 fmsl
3500 fmsl
2850 find
2750 fmsl
100 If
N (Y or N)
fmsl
Form SW401 Wet Detention Basin Rev e-9/17/09 Parts 1 a 11 Design Summary Page 1 of 2

Permit No
(to be Provided by DWD)
II DESIGN INFORMATION
Surface Areas
Area temporary pool
5 581 ft'
Area REQUIRED permanent pool
3 090 ft'
SAIDA ratio
553 (uno ess)
Area PROVIDED permanent pool Ap,,,,,y"
3537 ft'
OK
Area bottom of 10ft vegetated shelf A.y„ ,
2153 ft'
Area sediment cleanout top elevation (bottom of pond) A,,, � d
128 ft'
Volumes
Volume temporary pool
4 823 ft3
OK
Volume permanent pool Vim,,.
7 524 ft'
Volume forebay (sum of forebays if more than one forebay)
1457 ft3
Forebay %of permanent pool volume
19 4% %
OK
SAIDA Table Data
Design TSS removal
90 %
Coastal SAIDA Table Used?
Y (Y or N)
Mountain/Piedmont SAIDA Table Used?
N (Y or N)
SAIDA ratio
553 limitless)
Average depth (used in SAIDA table)
Calculation option 1 used? (See Figure 10 2b)
N (Y or N)
Volume permanent pool V.
7524 ft'
Area provided permanent pool Ar,,,, pi
3 537 ft
Average depth calculated
380 ft
OK
Average depth used in SAIDA d. (Round to nearest 0 511)
40 ft
OK
Calculation option 2 used? (See Figure 10 2b)
Y (Y or N)
Area provided permanent pool A._.
3 537 ft'
Area bottom of 1 Oft vegetated shelf A.,,,,,,
2153 ft
Area sediment cleanout top elevation (bottom of pond) A ,.d
128 ft'
Depth (distance b/w bottom of 10ft shelf and top of sediment)
650 ft
Average depth calculated
380 ft
OK
Average depth used in SAIDA dr (Round to nearest 0 511)
40 ft
OK
Drawdown Calculations
Drawdown through onfice?
Y (Y or N)
Diameter of onfice (if circular)
103 in
Area of onfice (if noo-circular)
in
Coefficient of discharge (Co)
060 (umtless)
Driving head (Ho)
025 ft
Drawdown through weirs
N (Y or N)
Weir type
(uni8ess)
Coefficient of discharge (C..)
(unilless)
Length of weir (L)
ft
Driving head (H)
ft
Pre -development 1 yr 24 hr peak flow
135 ft"/sec
Post -development 1 yr 24 hr peak flow
455 113lsec
Storage volume discharge rate (through discharge onfice or weir)
014 ft3lsec
Storage volume drawdown time
424 days
OK draws down in 2 5 days
Additional Information
Vegetated side slopes
3 1
OK
Vegetated shelf sloe
10 1
OKP
Vegetated shelf width
100 ft
OftLength
of Flowpath to width ratio
3 1
OK
7Y:
Length to width ratio
20 1
OK
Trash rack for overflow& onfice?
Y (Y or N)
OK 8
Freeboard provided
10 ft
OK
Vegetated filer provided?
N (Y or N)
OK
Recorded drainage easement provided?
Y (Y or N)
OK
Capures all runoff at ultimate buildout?
Y (Y or N)
OK
Drain mechanism for maintenance or emergencies is
MUD HOG PUMP
Form SW401 Wet Detention Basin Rev 8 9117/09 Parts 1811 Design Summary Page 2 of 2

Permit No
(to be provided by DWQ)
III REQUIRED ITEMS CHECKLIST
Please Indicate the page or plan sheet numbers where the supporting documentation can be found An incomplete submittal package will
result in a request for additional information This will delay final review and approval of the project Initial in the space provided to
Indicate the following design requirements have been met If the applicant has designated an agent, the agent may Initial below If a
requirement has not been met, attach justification
Page/ Plan
Initials
Sheet No
SEE PLANS
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
_
NA
2 Partial plan (1" = 30' or larger) and details for the wet detention basin showing
Outlet structure with trash rack or similar
Maintenance access
Permanent pool dimensions
Forebay and main pond with hardened emergency spillway
Basin cross section,
Vegetation specification for planting shelf and
Filter strip
TAIL SHEET
3 Section view of the wet detention basin (1" = 20' or larger) showing
Side slopes 31 or lower
Pretreatment and treatment areas, and
Inlet and outlet structures
—
NA
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
C
CALCULATI(
5 A table of elevations areas, incremental volumes & accumulated volumes for overall pond and for forebay
to verify volume provided
EC2
6 A construction sequence that shows how the wet detention basin will be protected from sediment until the
entire drainage area is stabilized
CALCULATI(
7 The supporting calculations
_
9TH SUBMITT
8 A copy of the signed and notarized operation and maintenance (O&M) agreement
H THE SUBMI
9 A copy of the deed restrictions (if required)
77
v�
UDED WITH T
10 A soils report that is based upon an actual field investigation soil bonngs, and infiltration tests County
soil maps are not an acceptable source of soils information
Form SW401 Wet Detention Basin Rev 8 9117/09
RECEIVED
JAN 2 8 2011
BY
Part III Required Items Checklist Page 1 of 1

State Stormwater Management Systems
Permit No SW8 110206
Black's Tire
Stormwater Permit
Brunswick County
No SW8 110206
Designer's Certification
I T Omsn,94 RkA&L , as a duly registered F—+J(i )6&-P� in the
State of North Carolina, having been authorized to observe (periodically/ weekly/ full
time) the construction of the protect,
PBL09 K'S lt� 2C S�I�UI c�
(Protect)
for Pock4s eyer?-1-6/J (Protect Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the protect
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 D3S�54
Date /0//91b.1
ti
�04,
;4Q
35054 =
FN/o/�9�f
GINti �VysT*AN1
Page 6 of 7

State Stormwater Management Systems
Permit No SW8 110206
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 protect is graded such that the
runoff drains to the system
4 All roof drams 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
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
V 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
New Hanover County Building Inspections
Page 7 of 7