SW8110614_CURRENT PERMIT_20220121

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO
SW8110��4
DOC TYPE
&] CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2 o 2 2 o l 21
YYYYMMDD

ROY COOPER
Governor
ELRABETH S BISER
s—n-y
BRIAN WRENN
Dfractor
January 21, 2022
Batley & Fuller Properties, LLC
Attn Chnstopher W Batley, Member
P O Box 400 ,
Jacksonville, NC 28541
NORTH CARQLINA
F.mYLunmentat Qaa//ty
Subject Permit Renewal
Post -Construction Stormwater Management Permit No SW8 110614
Bailey Shoppes at Hampstead
Pender County
Dear Mr Bailey
The Division of Energy, Mineral and Land Resources received a complete 8-year Permit Renewal Application for
the subject permit on January-18, 2022 The Division is hereby notifying you that permit SW8 110614 has been
renewed, updated, and re -issued on January 21, 2022, as attached As requested', a copy of the current operation
and maintenance agreement is also enclosed Please be aware that the renewal and re -issuance of this stormwater
permit does not imply that the site is currently in compliance
This permit shall be effective until July 15, 2029 and does not supersede any other agency permit that may be
required The project shall be subject to the conditions and limitations as specified thereinThus permit does not
impose new or increased stormri water control requirements; it clafies the rules and requirements of ihis program
to provide you with a better understandmg of your obligations under this permit Failure to comply with these
requirements will result in future compliance problems Please note that this permit is not transferable except
after notice -to and approval by the Division
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request
an adjudicatory hearing by filing a written petition with the Office of Admmtstrative Hearings (OAH)-The -
wntten petition must conform to Chapter 150B of the North Carofina General Statutes and must be filed with the
OAH withm 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 websde at www NCOAH com Unless
such demands are made this permit shall be final and binding , . -
If you have any questions concerning this permit, please contact Ashley Smith in the Wilmington Regional
Office, at [phone] or ashleym smith@ncdenr gov
Sincerely, __ ^
NI;
5;;Bnan Wrenn, Director
Division of Energy, Mineral and Land Resources
Enclosures Attachment A — Designer's Certification Forth
Attachment C — Pernuttmg' History
Renewal Application Documents
Copy of the current operation and maintenance agreement
DES/arcs \Mtormwater\Pemuts & Projects\2011\I 10614 HD\2022 01 permit 110614
cc Wilmington Regional Office Stormwater File
D E AO%M North Carolina Department of Ermmnmenml Quality I Division of Energy Mineral and land Resources
Wilmington Regional Office 1127 Cardoial Drive Extension I Wlhmngtan, North Carolina 28405
9107%7215

Post -Construction Stormwater Management
Permit No SW8 110614
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
POST -CONSTRUCTION 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
Bailey & Fuller Properties, LLC
Bailey Shoppes at Hampstead
Between 15395 & 15489 Highway 17, Hampstead, Pender 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') and as outlined in the application, approved stormwater management plans, supplement,
calculations, operation and maintenance agreement, recorded documents, specifications, and other
supporting data (the "approved plans and specifications") as attached and/or on file with and
approved by the Division of Energy, Mineral and Land Resources (the "Division" or "DEMLR") The
project shall be constructed, operated and maintained in accordance with these approved plans and
specifications The approved plans and specifications are incorporated by reference and are
enforceable part of this permit
This permit shall be effective from the date of issuance until July 15, 2029 and shall be subject to the
following specified conditions and limitations 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 condition 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
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 17 on page 2 of this permit The stormwater control has been designed to
handle the runoff from 84,442 square feet of impervious area
A 50' wide vegetative buffer must be provided adjacent surface waters, measured horizontally
from and perpendicular to the normal pool of impounded structures, the top of bank of both
sides of streams and rivers and the mean high water line of tidal waters
4 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 9,185 square
feet
Page 1 of 7

Post -Construction Stormwater Management
Permit No SW8 110614
5 All stormwater collection and treatment systems must be located in either dedicated common
areas or recorded easements The final plats for the protect 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 protect must be
directed into the permitted stormwater control system
7 The following design criteria have been provided in the wet detention pond and must be
maintained at design condition
Drainage Area, acres
Onsite, ft2
Offsite. ft2
b Total Impervious Surfaces, ft2
Onsite, ft2
Offsite, ft2
c Design Storm, inches
d Average Pond Design Depth, feet
e TSS removal efficiency
f Permanent Pool Elevation, FMSL
g Permanent Pool Surface Area, ft2
h Permitted Storage Volume, ft3
i Temporary Storage Elevation, FMSL
t 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
4
342
148,975
N/A
84,442
84,442
N/A
1 5" and pre -post 1-yr, 24 hr storm
4
90%
47
11,437
24,824
488
248
2 5" 0 pipe
012
5,396
N/A
Godfrey Creek / Cape Fear
18-74-49-1
"C,Sw"
The stormwater management system shall be constructed in its entirety, vegetated and
operational for its intended use prior to the construction of any built -upon surface
During construction, erosion shall be kept to a minimum and any eroded areas of the system
will be repaired immediately
The permittee shall, at all times, provide the operation and maintenance necessary to assure
the permitted stormwater system functions at the design condition The signed and approved
Operation and Maintenance Agreement must be followed in its entirety and maintenance must
occur at the scheduled intervals including, but not limited to
a Semiannual scheduled inspections (every 6 months)
b Sediment removal
c Mowing and re -vegetation of slopes and the vegetated filter
d Immediate repair of eroded areas
e Maintenance of all slopes in accordance with approved plans and specifications
f Debris removal and unclogging of outlet structure, orifice device, flow spreader, catch
basins and piping
g Access to the outlet structure must be available at all times
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
Page 2 of 7

Post -Construction Stormwater Management
Permit No SW8 110614
5 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
6 Records of maintenance activities must be kept and made available upon request to
authorized personnel of DEMLR The records will indicate the date, activity, name of person
performing the work and what actions were taken
7 If the stormwater system was used as an Erosion Control device, it must be restored to design
condition prior to operation as a stormwater treatment device, and prior to occupancy of the
facility
8 Access to the stormwater facilities for inspection and maintenance shall be maintained via
appropriate recorded easements at all times
9 The 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
10 Decorative spray fountains will be allowed in the stormwater treatment system if calculations
are provided documenting the permeant pool volume is greater than 30,000 cubic feet
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 protect or SCM that impact the certifications, a new or updated certification (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
III GENERAL CONDITIONS
CORRECTIVE ACTIONS REQUIRED 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
2 PERMIT RENEWAL 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)
Page 3 of 7

Post -Construction Stormwater Management
Permit No SW8 110614
CHANGES TO THE PROJECT NAME, PERMITTEE NAME OR CONTACT INFORMATION
The permittee shall submit a completed Permit Information Update Application Form to the
Division within 30 days to making any one of these changes
4 TRANSFER This permit is not transferable to any person or entity except after notice to and
approval by the Director Neither the sale of the protect and/or property, in whole or in part, nor
the conveyance of common area to a third party constitutes an approved transfer of the permit
a TRANSFER REQUEST The transfer request must include the appropriate application,
documentation and the processing fee as outlined in 15A NCAC 02H 1045(2) This
request must be submitted within 90 days of the permit holder meeting one or more of
the following
i A natural person who is deceased,
u A partnership, limited liability corporation, corporation, or any other business
association that has been dissolved,
ui A person or entity who has been lawfully and finally divested of title to the
property on which the permitted activity is occurring or will occur through
foreclosure, bankruptcy, or other legal proceeding
IV A person or entity who has sold the property, in whole or in part, on which the
permitted activity is occurring or will occur
b TRANSFER INSPECTION 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 protect and the on -site stormwater system complies with
the permit conditions Records of maintenance activities performed to date may be
requested Protects not in compliance with the permit will not be transferred until all
permit and/or general statute conditions are met
COMPLIANCE The permittee is responsible for compliance with the terms and conditions of
this permit until the Division approves the transfer request
a APPROVED PLANS AND SPECIFICATIONS A copy of this permit, approved plans,
application, supplement, operation and maintenance agreement, all applicable
recorded documents, and specifications shall be maintained on file by the permittee at
all times
b DIVISION ACCESS The permittee grants Division Staff permission to enter the
property during normal business hours to inspect all components of the permitted
protect
c ENFORCEMENT 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
d ANNUAL CERTIFICATION The permittee shall electronically submit to the Division an
annual certification completed by either the permittee or their designee confirming the
protects conformance with permit conditions
e OBTAINING COMPLIANCE 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 modified plans and certification in writing to the Director that the
changes have been made
Page 4 of 7

Post -Construction Stormwater Management
Permit No SW8 110614
OTHER PERMITS 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
Permit renewed, updated and reissued this the 21st day of January 2022
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
ri—S ian Wrenn, Uirector
Division of Energy. Mineral and Land Resources
By Authority of the Environmental Management Commission
Permit Number SW8 110614
Page 5 of 7

Post -Construction Stormwater Management
Permit No SW8 110614
Bailey Shoppes at Hampstead
Stormwater Permit No SW8 110614
Pender Countv
Attachment A
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
protect,
(Project)
for (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
Date
SEAL
Page 6 of 7

Post -Construction Stormwater Management
Permit No SW8 110614
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 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 NCDEQ-DEMLR Wilmington Regional Office
Pender County Building Inspections
Page 7 of 7

Attachment C - Permitting History
Bailey Shoppes at Hampstead
Permit No SW8 110614
Approval
Date
Permit `Action
BIMS
_Version
Description of the Changes
7/15/201 1
Original
Approval
1 0
12/1/2014
Modification
I I
Additional impervious area has been added to
the parking lot and to the future allocation
The temporary pool elevation has been raised
in order to provide more storage volume
1/21/2022
Renewal
20
Expires July 15, 2029

IV
PermitNumber ��O jZ/
(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 mamtenance procedures
— Immediately after the wet detention basin is established, the plants on the
vegetated shelf and perimeter of the basm 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 i unal
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 dram should be mmmuzed 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 10 inches (or 15 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
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 "height height of
long
iNIPAYINPR
Form SW401-Wet Detention Basin O&M -Rev 4
NOV 07 2M4
Uge 1 of 4
8V ---

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 nprap if needed to
prevent future erosion problems
Weeds are present
Remove the weeds, preferably by
hand If pesticide is used, wipe it on
the plants rather than spraying
The vegetated shelf
Best professional practices
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 sods, 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
ECE V
NOV 0 7 2014
Fonts SW401-Wet Detention Basin O&M -Rev 4 Pa 4
of 4
BY--

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 7 0 feet in the main pond, the sediment
shall be removed
When the permanent pool depth reads 2 0 feet in the forebay, the sediment
shall be removed
Sediment Removal
Faun
BASIN DIAGRAM
ill in the blanks)
Permanent Pool Elevation 47 0
450 Pe anen Pool
----------- -- Volume Sediment Removal Elevation 400
440 -ft Min ---------------------------- ------------
Sediment Bottom Elevation 39 0
Storage
FOREBAY MAIN POND
Form SW401-Wet Detention Basin O&M -Rev 4
ECEOVE
NOV 0 7 20%
t` t Page 3 of 4
1-ft
Storage

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 Bailey Shops Hampstead
BMP drainage area number 1
Print name Mr Christopher Bailey
Title Member Manaver
Addr
Phon
Sign,
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
I, /'1/' a /(sZ , /- k059A , a Notary Public for the State of
,414- �ili NJ-1 Ar-, County of do hereby certify that
personally appeared before me this
day of, and acknowledge the due execution of the
forgoing wet detention basin
maintenance requirements Witness my hand and official
seal, (( fAl? 0i1 /l
'
NpA 1 -'
s
Mlls
#0TA,?k
2 'Dl/BL1G UI
2�
'o COUNT` ```��.
SEAL
�! ao)�
My commission expires � �) _��-cQU GENE
NOV 0 7 2M
er
Form SW40I-Wet Detention Basin O&M -Rev 4 Page 4 of 4

,1i
r�, $&itO

ULMLK Ubt UNLY
ecei ed
Fee Paid
Permit Number
L,,DaLe
1
5a5 —
SW
I l o
NC DECI 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
prior 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
1 State Stormwater Permit Number SW8 110614
2 Project name Bailey Shoppes @ Hampstead
3 Projrct street address 15441 Hwy 17
City Hampstead County Pender ZIP
28443
4 What, if any, changes have been made to the project as permitted?
If the project has changed from the onginal approved plans please complete SWU-101 for a Major
Modification or Minor Modification Application form available at https //deg nc gov/about/divsionslenergy-
mi neral-land-resources/energy-minera I-land-rules/stormwater-program/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/about/divisions/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 Holders Company Name/Organization Bailey & Fuller Properties LLC
2 Signing Official's Name Christopher W Bailey
3 Signing Officials Title Member
4 Mailing Address P O Box 400
City Jacksonville State NC ZIP
28541
5 Street Address 405-D Western Blvd
City
28546
6 Phone [phone] Email arosen(c)bailevandassociates biz
INC ZIP
JAN 18 2022 4
By
Stormwater Permit Renewal Form Page 1 of 3 e---PAay 11.20018

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/ORM Only applications packages that
include all required items listed below will be accepted and reviewed
l tial each item below to indicate that the required information is provided in the application package
/1 A permit application processing fee of $505 00 payable to NCDEQ
f 2 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
a 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 570 '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
(7`p
,/ 4
/5
O&M Agreements, Please select one
❑ 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
Designer 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 (a) confirming that the project was built in accordance with the
approved plans are enclosed, or
❑ The project has not yet been built
[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
[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)
https //www sosnc gov/online services/search/bv title/ Business Registration
M—�
� %O EC tl V r_
JAN 18 2022
BY_ r
Stormwater Permit Renewal Application Form Page 2 c` 3 May 11 2018

D PERMITTEE'S CERTIFICATION
I, 0/� i l�� the person legally responsible for the permit certify that I have
a copy of the Per and O&M Agreement (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 area anWd
roper forms to modify or transfer the permit prior to any changes to the
protect, SCMs, or o mation provided on this permit renewal application is, to the best of my
knowledge, come a
Signature Date Z
NOTARIZATION
1 l) A__� aLri0� a Notary Public for the State of
Countyof_ (9/,6 Otn) do hereby certify
that CIO Q r bJ Ell
t personally appeared before me
this the l day of 20�, and acknowledge the due
,EtNe, L �O`frt;e forgoing instrument
P (Notary Sea;rz:
my hand and official seal,
��tCiy�i� E
JAN 18 2022 r
BY
Stormwater Permit Renewal Application Form Page 3 of 3 May 11 2018

Permit N �w8/ Z
(to be provided by OWQ)
b�OF W ALEgq
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 (Part Ilq must be printed filled out and submitted along with all of the required information
I PROJECT INFORMATION - '*
Project name Bailey Shoppes ® Hampstead
Contact person Christopher W Bailey
Phone number 910 346 8443
Date 11/812011
Drainage area number 1
II 1DESIGN INFORMATION
Site Characteristics
Drainage area 148 975 tt'
Impetuous area post development 84 442 ry'
impervious 5668
Design rainfall depth 15 in
Storage Volume Non SA Waters
Minimum volume required
Volume provided
Storage Volume SA Waters
15 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 pre/post control of the 1yr 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)
Top of 1Of vegetated shelf elevation
Bottom of 1 Oft vegetated shelf elevation
Sediment cleanout top elevation (bosom of pond)
Sediment cleanout bottom elevation
Sediment storage provided
Is there additional volume stored above the state required temp poop
Elevation of the top of the additional volume
Form SW401 Wet Detention Basin Rev 8 9117/09
24699 ft3 OK
24 824 ry3
OK volume provided is equal to or in excess of volume required
ft3
ff3
ft3
ft3
n3
Y (Y or N)
39m
025 (untless)
065 (undless)
290 infer OK
248 ry3/sec
645 ft3/sec
397 a3/sac
4880 fmsl
4700 fmsl
4620 fmsl
4750 fmsl
4650 fmsl Data not needed for calculation option #1 but OK if provided
4000 fmsl
3900 fmsl Data not needed for calculation option #1 but OK if provided
100 It
N (YorN) ECEIVE
48 8 fmsl OK
NOV 0 7 MR
RV IV — Sin mary Page 1 of 2

Permit No
(fa be provided by DWQ)
II DESIGN INFORMATION
Surface Areas
Area temporary pool
16145 tt2
Area REQUIRED permanent pool
7 449 ft'
SAIDA ratio
500 (undless)
Area PROVIDED permanent pool A.. pod
11 437 It' OK
Area bottom of 1 Oft vegetated shelf A, me,
6 269 ft'
Area sediment cleanout top elevation (bottom of pond) A2p,yp,a
891 ft,
Volumes
Volume temporary pool
24 824 rya
OK
Volume permanent pool V,,..wm
27697 ft'
Volume forebay (sum of forebays 1f more than one forebay)
5 396 ft'
Forebay % of permanent pool volume
19 5 % %
OK
SAIDA Table Data
Design TSS removal
90 %
Coastal SAIDA Table Used?
Y (Y or N)
Mountain/Piedmont SAIDA Table Used9
N (Y or N)
SAIDA ratio
500 limitless)
Average depth (used in SA/DA table)
Calculation option 1 used? (See Figure 10 2b)
Y (Y or N)
Volume permanent pool Vp,„ psi
27 697 ft'
Area provided permanent pool Ap,,,�y
11 437 It'
Average depth calculated
410 ft
OK
Average depth used in SAIDA d„ (Round to nearest 0 5ft)
40 it
OK
Calculation option 2 used? (See Figure 10 21b)
n (Y or N)
Area provided permanent pool Ap,,,y,q
11 437 It'
Area bottom of 1 Oft vegetated shelf Aw, e,eif
6 269 tt2
Area sediment cleanout top elevation (bottom of pond) Awj, w
891 ft,
Depth (distance b/w bottom of 1 Oft shelf and top of sediment)
650 ft
Average depth calculated
410 tt
OK
Average depth used in SAIDA d„ (Round to nearest 0 5ft)
40 it
OK
Drawdown Calculations
Drawdown through onficev
Y (Y or N)
Diameter of orifice (d circular)
2 50 in
Area of orifice (1f non circular)
m2
Coefficient of discharge (Co)
060 limitless)
Drying head (Hp)
050 ft
Drawdown through weir?
N (Y or N)
Weir type
(unitless)
Coefficient of discharge (C„.)
(undless)
Length of weir (L)
it
Driving head (H)
ft
Pre -development 1 It 24 hr peak flow
248 ft'/sec
Past development 1 yr 24 hr peak flow
645 ft'/sec
Storage volume discharge rate (through discharge orifice or weir)
012 rya/sec
Storage volume Drawdown time
2 03 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
10 0 ft1
OK
C^ E I V E
C (�
Length of flowpath to width ratio
3 1
OK
Length to width ratio
Trash rack for overflow 8 onfice?
30 1
Y (Y or N)
OK
OK
NOV 0 7 2M
Freeboard provided
Y it
OK
Vegetated filter provided'
N (Y or N)
OK KV
Recorded drainage easement provided?
Y (Y or N)
OK
Capures all runoff at ultimate build out?
Y (Y or N)
OK
Drain mechanism for maintenance or emergencies is
Pump
Form SW401 Wet Detention Basin Rev 8 9/17/09
Parts 1611 Design Summary Page 2 of 2